Individual
DR. PAUL G HAGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1145 S UTICA AVE, STE 202, TULSA, OK 74104-4022
(918) 579-3130
(918) 579-3139
Mailing address
1145 S. UTICA AVE, STE 202, TULSA, OK 74104-4022
(918) 579-3130
(918) 579-3139
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
18856
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100208950A
—
OK
01
—
P00117586
RAILROAD MEDICARE
—
Enumeration date
03/21/2006
Last updated
03/03/2014
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