Individual
DR. ROBERT JOHN HAGENBERG III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3080 E GENTRY WAY STE 210, MERIDIAN, ID 83642
(208) 810-2309
Mailing address
1501 N CAMPBELL AVE, TUCSON, AZ 85724-0001
(520) 626-7233
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
R75074
AZ
Other
Enumeration date
05/26/2015
Last updated
06/27/2018
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