Wayne T Hagerman Od Pc

NPI 1578881561 - Optometrist - 152W00000X

NPI Details
NPI 1578881561
Enumeration Date 05/14/2010
Last Updated 08/03/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GRETA L GRETA
Position CLERK
Phone (907) 747-6644
Fax (907) 747-4990
Practice Location
700 KATLIAN ST STE C
SITKA AK, 99835-7314, US
Phone (907) 747-6644
Fax (907) 747-4990
Business Location
700 KATLIAN ST STE C
SITKA AK, 99835-7314, US
Phone (907) 747-6644
Fax (907) 747-4990
Toxanomy
Taxonomy Code 152W00000X
License State Alaska
License Number AK055
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According to our database, Wayne T Hagerman Od Pc NPI is 1578881561, taxonomy code is 152W00000X and license number is AK055, license state is located at Alaska. Wayne T Hagerman Od Pc physically located at 700 Katlian St Ste C, Sitka AK, 99835-7314. NPI Number 1033115704 has the healthcare provider type.

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1578881561 NPI number is provided on an as is basis without warranty of any kind. 1578881561 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne T Hagerman Od Pc are for informational purposes only.