Individual
MRS. PATRICIA DAWN HAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
41 E 7720 S, MIDVALE, UT 84047-2650
(801) 566-3677
(801) 566-3677
Mailing address
41 E 7720 S, MIDVALE, UT 84047-2650
(801) 566-3677
(801) 566-3677
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
F42592
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201801529001
—
UT
01
—
CFM00931
ABC CERT. FITTER MASTECT.
UT
01
—
M100141
FACILITY ACCREDITED ABC
UT
Enumeration date
08/18/2006
Last updated
07/09/2007
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