Search › Idaho › 152W00000X

Dwight Hansen, O.D

NPI 1851302855 · on the registry since 2006 · sole proprietor

Practice

Address
225 W Main St
Rigby, ID 83442
Phone
(208) 745-8773

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152WC0802X
152WL0500X
152WP0200X
152WX0102X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho