DR. Douglass Eugene Hanson, OPTOMETRIST

NPI #1225178593 in Rexburg, Idaho

Provider Information

NPI Number
1225178593
Entity Type
Individual
Name
DR. Douglass Eugene Hanson, OPTOMETRIST
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist - Corneal and Contact Management
Credential
OPTOMETRIST
Enumeration Date
Feb 7, 2007
Last Updated
Apr 25, 2012

Practice Location

Address
24 E MAIN ST
State
Idaho
ZIP Code
83440-1927
Phone
(208) 356-0881

Specialties & Taxonomy Codes

Specialty
Optometrist - Corneal and Contact ManagementCorneal and Contact Management

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