Organization
JASON P HAGEN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN W DEES (OFFICE MAMAGER)
(337) 463-8977
Entity
Organization
Contact information
Practice address
403 W 8TH ST, DERIDDER, LA 70634-5507
(337) 463-8977
(337) 462-3093
Mailing address
403 W 8TH ST, DERIDDER, LA 70634-5507
(337) 463-8977
(337) 462-3093
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD205679
LA
Other
Enumeration date
03/03/2015
Last updated
03/23/2015
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