Individual
THOMAS HAGEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RVT
Contact information
Practice address
14780 W MOUNTAIN VIEW BLVD, SURPRISE, AZ 85374-4799
(623) 760-9430
Mailing address
20395 W MONARCH CT, BUCKEYE, AZ 85396-7650
(602) 614-5253
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
152797
AZ
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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