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Organization
SAMIR E. HAGE, D.O., INC.
Active
Organization
SAMIR E. HAGE, D.O., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMIR HAGE D.O. (PRESIDENT)
(909) 748-6065
Entity
Organization
Contact information
Practice address
255 TERRACINA BLVD, SUITE 202, REDLANDS, CA 92373-4870
(909) 748-6065
(909) 748-6095
Mailing address
255 TERRACINA BLVD, SUITE 202, REDLANDS, CA 92373-4870
(909) 748-6065
(909) 748-6095
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX72330
—
CA
Enumeration date
10/01/2007
Last updated
10/01/2007
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