Individual
DEREK A HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4100 LAKE OTIS PKWY STE 216, ANCHORAGE, AK 99508-5230
(907) 563-2873
(907) 563-5852
Mailing address
4100 LAKE OTIS PKWY STE 216, ANCHORAGE, AK 99508-5230
(907) 563-2873
(907) 563-5852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3954
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3954
LICENSE
AK
05
—
MD39541
—
AK
Enumeration date
04/19/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us