Individual
JAMES ANDREW HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Mailing address
500 INDIANA AVE, WINSLOW, AZ 86047-2169
(928) 289-4646
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427335140
—
AZ
05
—
407506
—
AZ
01
—
8HI949
CBQ
—
Enumeration date
02/04/2008
Last updated
02/05/2015
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