Joshua Ted Hansen, D.O.

NPI #1730542143 in Jerome, Idaho

Provider Information

NPI Number: 1730542143
Entity Type: Individual
Name: Joshua Ted Hansen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 2, 2016
Last Updated: Jun 13, 2022

Practice Location

Address: 132 5TH AVE W
City: Jerome
State: Idaho
ZIP Code: 83338-1825
Phone: (208) 814-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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