Individual
JASON SCOTT HAGELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 CHRISTY DR STE 210, JEFFERSON CITY, MO 65101-5195
(573) 606-7337
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8399
(573) 348-8309
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012005909
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982833885
—
MO
Enumeration date
07/13/2009
Last updated
03/28/2023
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