# DIANA HAGER M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821427816
- **Authorized official:** DR. DIANA LYNN HAGER M.D. (PHYSICIAN/PROVIDER)
- **Authorized official phone:** (405) 485-8100

## Contact information

- **Practice address:** 1301 N COUNCIL AVE, SUITE B, BLANCHARD, OK 73010-8041
- **Practice address phone:** (405) 485-8100
- **Practice address fax:** (405) 485-8104
- **Mailing address:** PO BOX 1730, BLANCHARD, OK 73010-1730
- **Mailing address phone:** (405) 485-8100
- **Mailing address fax:** (405) 485-8104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 18136 | OK | Yes |

## Other

- **Enumeration date:** 11/11/2013
- **Last updated:** 11/11/2013