Individual
DR. HEIDI C HAGEN
Active
Individual
DR. HEIDI C HAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000627
MO
213ES0131X
Foot Surgery Podiatrist
12-00287
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24240023
BLUE CROSS BLUE SHIELD
KS
01
—
24240033
BLUE CROSS BLUE SHIELD MO
MO
01
—
400719
BLUE SHIELD TOPEKA
KS
01
—
400719
BLUE SHIELD TOPEKA
MO
Enumeration date
03/31/2006
Last updated
05/19/2008
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