Individual
DR. GARY HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 DAVIS ST, SAN LEANDRO, CA 94577-1209
(510) 632-5210
Mailing address
1900 DAVIS ST, SAN LEANDRO, CA 94577-1209
(510) 632-5210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7697T
CA
Other
Enumeration date
12/29/2006
Last updated
08/02/2012
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