NPI age
19 years
Enumerated 2006-09-19
● Active Type 2 · Organization
Dwayne M. Hansen MD Pllc
Dwayne M. Hansen MD Pllc is 1 of 260 surgery organizations in Idaho.
Primary specialty
Surgery
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hansen
Owner
Last NPPES update
2007-12-06
Source: monthly bulk 2026-05
How this organization compares
Across 260 active surgery providers in Idaho.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-09Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
381 East 4th North Street, Suite 100
Rexburg, ID 83440
Mailing address
Po Box 185
Rexburg, ID 834400185
Authorized official
Dwayne M. Hansen, MD
Owner
📞 2086568442
Specialties
-
Surgery PrimaryA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
Practice context
Single-site organization. Only one practice location on file.
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