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NPI Code Detail

MEDICARE: BRIAN HAGER DO

MEDICARE:   BRIAN  HAGER  DO
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
1207L00000XAnesthesiology Physician1233NV

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 : 1508842006
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN HAGER DO
Provider Business Mailing Address
First Line : 3725 EMERALD BAY CIRCLE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6817
Country : US
Telephone Number : 702-686-9347
Fax Number : 888-340-2427
Provider Business Practice Location Address
First Line : 3725 EMERALD BAY CIR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-6817
Country : US
Telephone Number : 702-686-9347
Fax Number : 888-340-2427
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2005
Last Update Date : 04/29/2009

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Directions to “ BRIAN HAGER DO” Practice Location

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