Individual
HANSON MOUANOUTOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-6910
Mailing address
2003 KOOTENAI HEALTH WAY # K303, COEUR D ALENE, ID 83814-6051
(208) 625-6900
(208) 625-6910
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
O-1696
ID
Other
Enumeration date
03/30/2017
Last updated
07/16/2024
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