# PAUL GUY HAGOOD

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

## Provider details

- **NPI number:** 1881893436
- **Authorized official:** DR. PAUL GUY HAGOOD M.D. (OWNER)
- **Authorized official phone:** (580) 765-1969

## Contact information

- **Practice address:** 1908 N 14TH ST, 201, PONCA CITY, OK 74601-2014
- **Practice address phone:** (580) 765-1969
- **Practice address fax:** (580) 765-9344
- **Mailing address:** 1908 N. 14TH ST., 201, PONCA CITY, OK 74601-2039
- **Mailing address phone:** (580) 765-1969
- **Mailing address fax:** (580) 765-9344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 18856 | OK | Yes |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 05/06/2009