Individual provider · Type 1 NPI

Matthew D. Hansen, MD

Pediatric Hematology & Oncology Physician · Boise, ID

NPI number 1780607481 Active

Practice location

100 E Idaho St
Boise, ID 83712-6267

Call (208) 381-2222 Map

Mailing address

190 E Bannock St
Boise, ID 83712

Specialties and licenses

TaxonomyCodeLicense
Pediatric Hematology & Oncology Physician 2080P0207XOH35082069 (OH)
Pediatric Hematology & Oncology Physician Primary 2080P0207XM10226 (ID)

Pediatric Hematology & Oncology Physician: A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

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About NPI 1780607481

Matthew D. Hansen, MD's National Provider Identifier is 1780607481, issued on Jul 25, 2006. The primary taxonomy on file is Pediatric Hematology & Oncology Physician (2080P0207X), and the practice location is in Boise, ID. The record was last updated on Mar 21, 2011.