Organization
ROBERT WILLIAM HAGEN M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE MARY HAGEN (VP)
(208) 667-1110
Entity
Organization
Contact information
Practice address
416 EAST COEUR D'ALENE AVENUE, COEUR D'ALENE, ID 83814
(208) 667-1110
Mailing address
416 EAST COEUR D'ALENE AVE., COEUR D'ALENE, ID 83814
(208) 667-1110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2011
Last updated
08/10/2011
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