Organization
SCOT E. HAGADORN M.D., PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOT E HAGADORN M.D. (OWNER/PHYSICIAN)
(765) 284-0493
Entity
Organization
Contact information
Practice address
1660 LAFAYETTE RD, SUITE #100, CRAWFORDSVILLE, IN 47933-4601
(765) 359-1660
Mailing address
PO BOX 41, MUNCIE, IN 47308-0041
(765) 284-0493
(765) 284-2434
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010520
—
IN
Enumeration date
01/20/2011
Last updated
10/10/2011
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