TATE J HANSEN, PA-C
Medical Practice at Eagle Rd, Meridian, ID

License number
Idaho PA1047
Category
Nursing
Type
Medical
Address
Address 2
520 S Eagle Rd STE 1222, Meridian, ID 83642
190 E Bannock St, Boise, ID 83712
Phone
(208) 706-2200
(208) 706-2251 (Fax)
(208) 381-2222
National Provider ID: 1982944617
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Tate J Hansen Photo 1

Tate J Hansen, Boise ID
Specialties:
Physician Assistant
Address:
190 E Bannock St, Boise, ID 83712
520 S Eagle Rd, Meridian, ID 83642

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