Organization
HAGEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARBARA JANE HAGEN MD (OWNER)
(208) 323-1125
Entity
Organization
Contact information
Practice address
413 ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Mailing address
413 ALLUMBAUGH ST STE 101, BOISE, ID 83704-9219
(208) 323-1125
(208) 323-9604
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M9410
ID
Other
Enumeration date
08/13/2008
Last updated
04/28/2009
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