DR. Dwayne Maxwell Hansen JR., DO

NPI #1871013938 in Rexburg, Idaho

Provider Information

NPI Number
1871013938
Entity Type
Individual
Name
DR. Dwayne Maxwell Hansen JR., DO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Surgery
Credential
DO
Enumeration Date
Jun 20, 2017
Last Updated
Jun 11, 2025

Practice Location

Address
381 E 4TH N STE 100
State
Idaho
ZIP Code
83440-1684
Phone
(208) 656-8442

Specialties & Taxonomy Codes

Specialty
Surgery

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Organizations

Provider Name
Dwayne M. Hansen MD PllcNewBizBotAI Deep Dive
Robert L Coray Md, PllcNewBizBotAI Deep Dive

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