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Individual
DAVID HAGER
Active
Individual
DAVID HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D0062567
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75859901
BLUE SHIELD
MD
01
—
J8790001
BLUE SHIELD
DC
01
—
P00241319
RAILROAD MED
MD
Enumeration date
03/14/2006
Last updated
02/29/2008
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