Individual
ROBERT R HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 611A, SAINT LOUIS, MO 63141-8232
(314) 251-6587
(314) 251-4775
Mailing address
1836 LACKLAND HILL PKWY, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2002014082
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00343197
RR MEDICARE
MO
Enumeration date
06/12/2006
Last updated
02/27/2008
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