Mr. BRUCE M HANSEN DO
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1699941021- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1055 N. CURTIS ROAD, BOISE, ID, 837061309
- Phone
- (208) 367-2559
- Fax
- (770) 701-6675
Specialties & Taxonomies
Anesthesiology
License: IN #02003137A
Anesthesiology
License: UT #9528888-1204
Anesthesiology
Primary License: ID #O-0636