Individual
DR. ROBERT HAGEBAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 350-6399
(970) 378-4687
Mailing address
PO BOX 824246, PHILADELPHIA, PA 19182-4246
(954) 545-0337
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42245
CO
207L00000X
Anesthesiology Physician
Primary
MD220099
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18786537
—
CO
Enumeration date
07/03/2006
Last updated
07/16/2024
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