Idaho Sports & Spine Pllc
NPI #1033417035 in Pocatello, Idaho
Provider Information
- NPI Number
- 1033417035
- Entity Type
- Organization
- Organization Name
- Idaho Sports & Spine Pllc
- Primary Specialty
- Family Medicine - Sports Medicine
- Enumeration Date
- Mar 1, 2011
- Last Updated
- Nov 4, 2019
Practice Location
Authorized Official
- Name
- STEPHEN HANSEN, D.O.
- Title
- OWNER
- Phone
- (208) 478-4522
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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