Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MULLOY G HANSEN, M.D
Active Sole ProprietorMULLOY G HANSEN, M.D is a Family Medicine healthcare provider located in LEWISTON, Idaho. NPI 1538358635 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LEWISTON, ID
Registration Details
- NPI Number
- 1538358635
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 15, 2007 (18.822615325776 yrs)
- Last Updated
- Jun 29, 2011
- Licenses
-
MD00015580 (WA)M-10654 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
338 6TH ST STE 101LEWISTON, ID, 835012419Browse ID providers · Browse ZIP 83501
- Phone
- 1208848830
- Fax
- 5094447806
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| DR. CHRISTINE C SCHALLER | MD | 1063415404 |
| DR. DONALD J GREGGAIN | M.D. | 1154328052 |
| MR. RAYMOND M. PAZ | M.D. | 1760475206 |
| LARRY DEAN HARRIES | MD | 1033105994 |
| RICHARD SCOTT LEON | MD | 1972562841 |
| DR. MICHAEL J BALDECK | D.O. | 1669428967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.