| Robert William Hagen M.d., Inc. | |
|
416 East Coeur D'alene Avenue Coeur D'alene ID 83814 | |
| (208) 667-1110 | |
| Not Available |
| Full Name | Robert William Hagen M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 416 East Coeur D'alene Avenue, Coeur D'alene, Idaho |
| Authorized Official Name and Position | Charlotte Mary Hagen (VP) |
| Authorized Official Contact | 2086671110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert William Hagen M.d., Inc. 416 East Coeur D'alene Ave. Coeur D'alene ID 83814 Ph: (208) 667-1110 | Robert William Hagen M.d., Inc. 416 East Coeur D'alene Avenue Coeur D'alene ID 83814 Ph: (208) 667-1110 |
| NPI Number | 1316232150 |
|---|---|
| Provider Enumeration Date | 06/09/2011 |
| Last Update Date | 08/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316232150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |