CLYDE ARTHUR HANSON DO
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1760540801- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 622 W COLLEGE AVE STE 2, ST MARIES, ID, 838611822
- Phone
- (208) 568-7800
- Fax
- (877) 902-7131
Specialties & Taxonomies
Emergency Medicine
License: WA #OP60768791
Emergency Medicine
Primary License: ID #O-231