Individual
R DANIEL HAGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 W 6TH AVE STE 104, SPOKANE, WA 99204-2540
(509) 904-9000
(509) 703-7799
Mailing address
307 W 6TH AVE STE 104, SPOKANE, WA 99204-2540
(509) 904-9000
(509) 703-7799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD 60013894
WA
208600000X
Surgery Physician
Primary
MD60013894
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8511610
—
WA
Enumeration date
02/02/2007
Last updated
08/24/2023
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