Dr JOSHUA E HANSEN is a male medical professional, specializing in Physician Assistant. He graduated in 2011.
WALLACE C BAKER
1880 JOHN ADAMS PKWY
IDAHO FALLS
ID
834014315
Tel: 2085246633
| Npi | 1588948087 |
| Pac Id | 7012181530 |
| Professional Enrollment Id | I20111118000565 |
| Last Name | HANSEN |
| First Name | JOSHUA |
| Middle Name | E |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | WALLACE C BAKER |
| Group Practice Pac Id | 0446208904 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 1880 JOHN ADAMS PKWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 834014315 |
| Phone Number | 2085246633 |
| Hospital Affiliation Ccn 1 | 131316 |
| Hospital Affiliation Lbn 1 | BEAR LAKE MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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