DR. Landon Knight Hagberg, O.D.

NPI #1699087437 in Nampa, Idaho

Provider Information

NPI Number: 1699087437
Entity Type: Individual
Name: DR. Landon Knight Hagberg, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 9, 2010
Last Updated: Aug 20, 2013

Practice Location

Address: 10876 MUD SPRINGS AVE.
City: Nampa
State: Idaho
ZIP Code: 83687-8013
Phone: (208) 757-2289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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