Organization · Type 2 NPI

Guy M. Hanson, Dds, PA

Clinic/Center · Boise, ID

NPI number 1003858630 Active

Practice location

9203 W Overland Rd
Boise, ID 83709-2502

Call (208) 375-1012 Map

Fax (208) 375-1098

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XD1850 (ID)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1003858630

Guy M. Hanson, Dds, PA's National Provider Identifier is 1003858630, issued on Jun 11, 2006. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.