Robert William Hagen M.d., Inc.
NPI #1316232150 in Coeur D'alene, Idaho
Provider Information
- NPI Number
- 1316232150
- Entity Type
- Organization
- Organization Name
- Robert William Hagen M.d., Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 9, 2011
- Last Updated
- Aug 10, 2011
Practice Location
- Address
- 416 EAST COEUR D'ALENE AVENUE
- City
- Coeur D'alene
- State
- Idaho
- ZIP Code
- 83814
- Phone
- (208) 667-1110
Authorized Official
- Name
- CHARLOTTE MARY HAGEN
- Title
- VP
- Phone
- (208) 667-1110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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