Overview Referral Sources Referral Destinations Practice Locations 1 Prescriptions Procedures Same Address Same Phone
No Medical Groups
No Affl. Hospitals
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Primary Practice Address
338 6TH ST STE 101
LEWISTON, ID 83501-2419 US
PECOS Enrolled

Mulloy G Hansen

Family Medicine Physician

  • LEWISTON, ID
  • Phone: 208848830
  • Last Updated 6/29/2011
Mulloy G Hansen

Overview

Mulloy G Hansen is a Family Medicine Physician in the LEWISTON area. Mulloy G Hansen primary office location is at 338 6TH ST STE 101 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1538358635 and the information was updated approximately 14 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: YES

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
338 6TH ST STE 101
LEWISTON, ID 83501-2419 US
Phone: 208848830
Fax:
Practice Mailing Information
203 N WASHINGTON ST STE 300
SPOKANE, WA 83501-2419 US
Phone: (509)-444-8888
Fax: (509)-444-7806
License Number State
M-10654 ID
MD00015580 WA

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