Individual
ROGER HASSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-1337
(505) 722-1000
(505) 726-8671
Mailing address
PO BOX 1337, GALLUP, NM 87305-1337
(505) 722-1000
(505) 726-8671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39787
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
477712
—
AZ
01
—
AZ0741220
BCBS
AZ
Enumeration date
09/27/2006
Last updated
04/14/2008
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