Search › Idaho › 208600000X
Dwayne Hansen, DO
NPI 1871013938 · on the registry since 2017 · sole proprietor
Practice
- Address
- 381 E 4th N Ste 100
Rexburg, ID 83440 - Phone
- (208) 656-8442
- Fax
- (208) 656-8453
- Organisation at this address
- Max Hansen Surgery Pllc
Joshua R Fullmer Md Pllc
Rexburg Surgery Center LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 208600000X
208600000X
- Also registered as
- 208600000X
- Licence states on file
- ND, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-06-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho