Individual provider · Type 1 NPI

Daniel L. Hanson, PAC

Medical Physician Assistant · Meridian, ID

NPI number 1992859193 Active

Practice location

520 S Eagle Rd
Meridian, ID 83642-6308

Call (208) 706-5447 Map

Mailing address

2365 S Kimball St
Boise, ID 83709-3518

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 206 (ID)

Medical Physician Assistant: Definition to come...

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About NPI 1992859193

Daniel L. Hanson, PAC's National Provider Identifier is 1992859193, issued on Jan 23, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meridian, ID. The record was last updated on Jul 8, 2007.