Individual
DR. WARREN EUGENE HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1132 BROADWAY ST, SUITE 200, QUINCY, IL 62301-2819
(217) 224-6423
Mailing address
1132 BROADWAY ST, SUITE 200, QUINCY, IL 62301-2819
(217) 224-6423
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036141011
IL
207Y00000X
Otolaryngology Physician
R6867
MO
208200000X
Plastic Surgery Physician
036141011
IL
208200000X
Plastic Surgery Physician
R6867
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164458105
—
MO
Enumeration date
06/23/2006
Last updated
09/07/2016
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