Gary E Hagen

NPI 1073819884 - Dentist - 122300000X

NPI Details
NPI 1073819884
Enumeration Date 01/27/2011
Last Updated 03/21/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name GARY EDWARD GARY
Position OWNER
Phone (303) 393-6006
Fax (303) 377-5173
Practice Location
90 MADISON ST
SUITE 406
DENVER CO, 80206-5418, US
Phone (303) 393-6006
Fax (303) 377-5173
Business Location
90 MADISON ST
SUITE 406
DENVER CO, 80206-5418, US
Phone (303) 393-6006
Fax (303) 377-5173
Toxanomy
Taxonomy Code 122300000X
License State Colorado
License Number 104680
Remove 1073819884 NPI Number
 

According to our database, Gary E Hagen NPI is 1073819884, taxonomy code is 122300000X and license number is 104680, license state is located at Colorado. Gary E Hagen physically located at 90 Madison St, Denver CO, 80206-5418. NPI Number 1033115704 has the healthcare provider type.

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1073819884 NPI number is provided on an as is basis without warranty of any kind. 1073819884 is maintained by the National Plan & Provider Enumeration System. The contents of Gary E Hagen are for informational purposes only.