Individual
CHRISTOPHER HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(681) 342-1000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
193075
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
80022
WV
Other
Enumeration date
11/06/2015
Last updated
03/17/2018
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