Individual
TRACY A HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
400 HOLIDAY DR, PITTSBURGH, PA 15220-2727
(412) 444-0098
(412) 444-0111
Mailing address
15 GREEN OAK LN, PITTSBURGH, PA 15220-2017
(412) 670-6389
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA001523L
PA
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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