Individual
ALEX HAGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
250 DRILLERS RD, MOUNTAIN HOME, AR 72653-5186
(870) 492-5995
(870) 508-8900
Mailing address
630 BURNETT DR, MOUNTAIN HOME, AR 72653-2941
(870) 492-5995
(870) 508-8900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E17832
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326008003
—
AR
Enumeration date
04/05/2021
Last updated
12/27/2024
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