Individual
DR. DOUGLAS ALLEN HAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2431 V ST, SACRAMENTO, CA 95818-1825
(916) 838-1812
(916) 452-3139
Mailing address
2431 V ST, SACRAMENTO, CA 95818-1825
(916) 838-1812
(916) 452-3139
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3445
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34450
—
CA
01
—
P00691036
RAIL ROAD MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
02/24/2007
Last updated
06/02/2009
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