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Individual
BRANT HAGER
Active
Individual
BRANT HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
MD2012-0252
NM
2084P0800X
Psychiatry Physician
MD2012-0252
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/28/2008
Last updated
03/13/2025
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