Robert William Hagen M.d., Inc. | |
416 East Coeur D'alene Avenue Coeur D'alene ID 83814 | |
(208) 667-1110 | |
Not Available |
Full Name | Robert William Hagen M.d., Inc. |
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Speciality | Family Medicine |
Location | 416 East Coeur D'alene Avenue, Coeur D'alene, Idaho |
Authorized Official Name and Position | Charlotte Mary Hagen (VP) |
Authorized Official Contact | 2086671110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Robert William Hagen M.d., Inc. 416 East Coeur D'alene Ave. Coeur D'alene ID 83814 Ph: (208) 667-1110 | Robert William Hagen M.d., Inc. 416 East Coeur D'alene Avenue Coeur D'alene ID 83814 Ph: (208) 667-1110 |
NPI Number | 1316232150 |
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Provider Enumeration Date | 06/09/2011 |
Last Update Date | 08/10/2011 |
Identifier | Type | State | Issuer |
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1316232150 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |