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Individual

DR. ALAN A HASEGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6655 S YALE AVE, LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL, TULSA, OK 74136-3326
(918) 491-5051
(918) 502-5060
Mailing address
PO BOX 21228, DEPARTMENT 31, TULSA, OK 74121-1228
(918) 491-5051
(918) 502-5060

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17409
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04501
CIGNA BEHAVIORAL HEALTH
05
100216860C
OK
01
4306562
AETNA BEHAVIORAL HEALTH
01
731308273-006
BLUE CROSS B SHIELD OF OK
OK
Enumeration date
01/23/2006
Last updated
01/31/2017
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