Individual
BRANT HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE, BUILDING F, ALBUQUERQUE, NM 87102-2612
(505) 272-1312
(505) 272-2240
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
Primary
MD2012-0252
NM
2084P0800X
Psychiatry Physician
MD2012-0252
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2008
Last updated
03/13/2025
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