Individual
ROBERT C HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3311 E MURDOCK ST, WICHITA, KS 67208-3054
(316) 689-9306
(316) 689-9798
Mailing address
PO BOX 8035, WICHITA, KS 67208-0035
(316) 689-9135
(316) 689-9102
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
17842
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001254
BCBS
KS
05
—
100198290A
—
KS
01
—
12149522
MULTIPLAN
KS
01
—
16892
COVENTRY
KS
01
—
200120
HPK
KS
01
—
346
PHS
KS
Enumeration date
06/30/2006
Last updated
05/13/2021
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