| Jason P Hagen, Md, Llc | |
|
403 W 8th St Deridder LA 70634-5507 | |
| (337) 463-8977 | |
| (337) 462-3093 |
| Full Name | Jason P Hagen, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 403 W 8th St, Deridder, Louisiana |
| Authorized Official Name and Position | Kathleen W Dees (OFFICE MAMAGER) |
| Authorized Official Contact | 3374638977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason P Hagen, Md, Llc 403 W 8th St Deridder LA 70634-5507 Ph: (337) 463-8977 | Jason P Hagen, Md, Llc 403 W 8th St Deridder LA 70634-5507 Ph: (337) 463-8977 |
| NPI Number | 1841682614 |
|---|---|
| Provider Enumeration Date | 03/03/2015 |
| Last Update Date | 03/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841682614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD205679 (Louisiana) | Primary |
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