Organization
COMPREHENSIVE SURGICAL AND TESTING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT R. HAGAN M.D. (OWNER)
(314) 434-7784
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SUITE 382, SAINT LOUIS, MO 63141-8657
(314) 434-7784
(314) 434-4775
Mailing address
12855 N 40 DR, SUITE 382, SAINT LOUIS, MO 63141-8657
(314) 434-7784
(314) 434-4775
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2002014802
MO
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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