Clyde Arthur Hanson, DO
Emergency Medicine in St Maries, ID. Individual provider (NPI-1).
NPI number1760540801
StatusActive
Last updated in NPPESFeb 19, 2026
Details
- NPI
- 1760540801
- Entity type
- Individual (NPI-1)
- Name
- Clyde Arthur Hanson
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2006
- Certification date
- Feb 19, 2026
- Last updated
- Feb 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | O-231 | ID | Yes |
| 207P00000X | Emergency Medicine | OP60768791 | WA |
Practice location
622 W College Ave Ste 2St Maries, ID 83861-1822
Phone 208-568-7800 · Fax 877-902-7131
Mailing address
1593 E Polston AvePost Falls, ID 83854-5326
Phone 208-262-2498 · Fax 208-262-7461
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