Whalio Doctors

NPI 1164491460

Stephen M Hansen, MD

Practitioner Orthopaedic Surgery of the Spine Physician Pocatello, ID

Practice location

Address
950 Hospital Way STE a, Pocatello, ID 83201-2762
Phone
(208) 478-4522
Fax
(208) 712-6868

Registered specialties (2)

Orthopaedic Surgery of the Spine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence M-11666 (ID)
Orthopaedic Surgery of the Spine Physician
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence 7102972-1205 (UT)

Registry record

NPI
1164491460
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Mar 2006
Record last updated
31 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.