Jeffrey Lars Hagen DPM

NPI 1093792723 - Podiatrist - 213ES0103X

NPI Details
NPI 1093792723
Gender Male
Enumeration Date 12/23/2005
Last Updated 03/03/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
806 W 7TH ST
HANFORD CA, 93230-4926, US
Phone (559) 584-5196
Fax (559) 584-9807
Business Location
VISALIA CA, 93291-8222, US
Phone (559) 738-7500
Fax (559) 584-9807
Taxonomy Code 213ES0103X
License State California
License Number E4634
Remove 1093792723 NPI Number

According to our database, Dr. Jeffrey Lars Hagen DPM NPI is 1093792723, taxonomy code is 213ES0103X and license number is E4634, license state is located at California. Jeffrey Lars Hagen DPM physically located at 806 W 7th St, Hanford CA, 93230-4926. NPI Number Jeffrey Lars Hagen DPM has the Individual type.

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1093792723 NPI number is provided on an as is basis without warranty of any kind. 1093792723 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Lars Hagen DPM are for informational purposes only.