Individual
DR. CURT H HAGEDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 30 N 1900 E, ROOM 4R118, SALT LAKE CITY, UT 84132-0001
(801) 581-7803
(801) 585-0187
Mailing address
UNIVERSITY OF UTAH SCHOOL OF MEDICINE, 30 N 1900 E, ROOM 4R118, SALT LAKE CITY, UT 84132-0001
(801) 581-7803
(801) 585-0187
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
04-30483
KS
207RG0100X
Gastroenterology Physician
Primary
6633685-8017
UT
207RI0008X
Hepatology Physician
04-30483
KS
207RI0008X
Hepatology Physician
6633685-8018
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200005150A
—
KS
05
—
208459008
—
MO
01
—
33271012
BCBS KC
MO
01
—
466570
FIRSTGUARD
KS
Enumeration date
09/06/2006
Last updated
08/18/2009
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