Edward M Hagen OD

NPI 1093745515 - Optometrist - 152W00000X

NPI Details
NPI 1093745515
Gender Male
Enumeration Date 07/03/2006
Last Updated 05/26/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
4 GARDEN CTR
SUITE 100
BROOMFIELD CO, 80020-7026, US
Phone (303) 469-1941
Fax (303) 469-6634
Business Location
4 GARDEN CTR
SUITE 100
BROOMFIELD CO, 80020-7026, US
Phone (303) 469-1941
Fax (303) 469-6634
Toxanomy
Taxonomy Code 152W00000X
License State Colorado
License Number 1356
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According to our database, Edward M Hagen OD NPI is 1093745515, taxonomy code is 152W00000X and license number is 1356, license state is located at Colorado. Edward M Hagen OD physically located at 4 Garden Ctr, Broomfield CO, 80020-7026. NPI Number Edward M Hagen OD has the Individual type.

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1093745515 NPI number is provided on an as is basis without warranty of any kind. 1093745515 is maintained by the National Plan & Provider Enumeration System. The contents of Edward M Hagen OD are for informational purposes only.