Individual
JARED L HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 N COLLEGE RD STE C, TWIN FALLS, ID 83301-5824
(208) 391-5952
(877) 409-2920
Mailing address
706 N COLLEGE RD STE C, TWIN FALLS, ID 83301-5824
(208) 391-5952
(877) 409-2920
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
M9829
ID
Other
Enumeration date
06/13/2007
Last updated
07/31/2023
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