Individual
MR. THOMAS B. HAGELBERGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
ONE CHOCTAW WAY, CHOCTAW NATION HEALTH CARE CENTER, TALIHINA, OK 74571-0000
(918) 567-7000
Mailing address
54756 LAWSON LANE, TALIHINA, OK 74571-0000
(918) 567-5380
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5193
NY
Other
Enumeration date
02/08/2006
Last updated
07/08/2007
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