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Individual

DR. TOD HAGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3920 WASHINGTON ST, WEIRTON, WV 26062-5343
(304) 748-3780
Mailing address
3920 WASHINGTONST, WEIRTON, WV 26062
(304) 723-6040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18832
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2073901
OH
05
5630416000
WV
Enumeration date
10/17/2005
Last updated
08/17/2007
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