Individual
VICTORIA M HAGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-4360
(402) 955-4364
Mailing address
8200 DODGE ST, OMAHA, NE 68114-4113
(402) 955-5400
(402) 955-3674
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2260
NE
Other
Enumeration date
08/02/2018
Last updated
06/01/2021
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