Individual
DR. ANN ELIZABETH HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.V.M., M.D.
Contact information
Practice address
500 W FORT ST, MEDICAL SERVICE OFFICE, BOISE, ID 83702-4501
(208) 422-1314
(208) 422-1319
Mailing address
500 W FORT ST, MEDICAL SERVICE OFFICE, BOISE, ID 83702-4501
(208) 422-1314
(208) 422-1319
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M11711
ID
Other
Enumeration date
04/11/2010
Last updated
02/28/2015
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