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Guy M. Hanson, Dds, Pa
Clinic/Center in Boise, Idaho
NPI 1003858630

Guy M. Hanson, Dds, Pa is a Clinic/Center based in Boise, ID. Guy M. Hanson, Dds, Pa practices in Boise, ID. The NPI Number for Guy M. Hanson, Dds, Pa is 1003858630 and holds a License No. D1850 (Idaho).

The current practice location address for Guy M. Hanson, Dds, Pa is 9203 W Overland Rd, Boise, ID and can be reached out via phone at 208-375-1012 and via fax at 208-375-1098.

Location: 9203 W Overland Rd, Boise, ID, 83709-2502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003858630
Provider Name
Guy M. Hanson, Dds, Pa
Credential
Provider Entity Type
Organization
Address
9203 W Overland Rd, Boise, ID, 83709-2502
Phone Number
208-375-1012
Fax Number
208-375-1098
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9203 W Overland Rd
City
Boise
State
Idaho
Zip
83709-2502
Phone Number
208-375-1012
Fax Number
208-375-1098
person
Provider Business Mailing Address Details
Address
9203 W Overland Rd
City
Boise
State
Idaho
Zip
83709-2502
Phone Number
208-375-1012
Fax Number
208-375-1098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
D1850 (Idaho)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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