Individual
PATRICK C HAGEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 AUDUBON AVE, SUITE C, THIBODAUX, LA 70301-5074
(985) 655-3687
(985) 447-8556
Mailing address
2000 AUDUBON AVE, SUITE C, THIBODAUX, LA 70301-5074
(985) 655-3687
(985) 447-8556
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
019889
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1908631
—
LA
Enumeration date
03/11/2006
Last updated
07/08/2007
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