All Medicaid billing entities listing HANSEN, STEPHEN (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $96K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | IDAHO SPORTS & SPINE PLLC | POCATELLO, ID | Sports Medicine (Family Medicine) Physician | $96K |