Individual
MR. ERIK K HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4902 W STATE ST, BOISE, ID 83703-3326
(208) 302-3900
(208) 302-3905
Mailing address
4902 W STATE ST, BOISE, ID 83703-3326
(208) 302-3900
(208) 302-3905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-915
ID
363A00000X
Physician Assistant
PA915
ID
Other
Enumeration date
08/16/2011
Last updated
03/11/2024
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