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Individual

WILLIAM HENRY HANSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, DPM

Contact information

Practice address
5304 N ROAD 68, PASCO, WA 99301-9189
(509) 543-9300
Mailing address
513 SE 8TH ST, COLLEGE PLACE, WA 99324-1641
(509) 200-1284
(509) 783-2933

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
P000000821
WA
363A00000X
Physician Assistant
PA10004866
WA

Other

Enumeration date
03/09/2007
Last updated
12/10/2013
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