Individual
CAMERON PHILLIP HAGENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 N 2100 W, SALT LAKE CITY, UT 84116-2991
(385) 430-2112
Mailing address
130 N 2100 W, SALT LAKE CITY, UT 84116-2991
(385) 430-2112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
UT
Other
Enumeration date
05/27/2025
Last updated
12/09/2025
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