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NPI Code Detail

MEDICARE: DR. WILLIAM DAVID HAGER MD

MEDICARE:  DR. WILLIAM DAVID HAGER  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207VG0400XGynecology Physician16788KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932190444
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM DAVID HAGER MD
Provider Business Mailing Address
First Line : 5200 COMMERCE CROSSINGS DR FL 3
Second Line :
City : LOUISVILLE
State : KY
Zip : 40229-2182
Country : US
Telephone Number : 502-253-4924
Fax Number : 502-489-5750
Provider Business Practice Location Address
First Line : 1780 NICHOLASVILLE RD STE 101
Second Line :
City : LEXINGTON
State : KY
Zip : 40503-1411
Country : US
Telephone Number : 859-278-0363
Fax Number : 859-278-4976
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2005
Last Update Date : 12/09/2020

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Directions to “ DR. WILLIAM DAVID HAGER MD” Practice Location

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