Organization
SAMUEL L HAGUE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL L HAGUE MD (PRESIDENT)
(580) 363-0052
Entity
Organization
Contact information
Practice address
1009 W FERGUSON AVE, BLACKWELL, OK 74631-5602
(580) 363-0052
(580) 363-0894
Mailing address
1009 W FERGUSON AVE, BLACKWELL, OK 74631-5602
(580) 363-0052
(580) 363-0894
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22530
OK
Other
Enumeration date
02/22/2007
Last updated
08/22/2020
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