Individual
DR. STEPHEN F HAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 N EMPORIA ST, STE 102, WICHITA, KS 67214-2938
(316) 262-1057
(316) 267-3935
Mailing address
1035 N EMPORIA ST, STE 102, WICHITA, KS 67214-2938
(316) 262-1057
(316) 267-3935
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
04-19347
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100202000A
—
KS
Enumeration date
07/13/2006
Last updated
07/12/2018
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