Search › Idaho › 152W00000X
Landon Hagberg, O.D
NPI 1699087437 · on the registry since 2010 · sole proprietor
Practice
- Address
- 10876 Mud Springs Ave.
Nampa, ID 83687 - Phone
- (208) 757-2289
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- ID, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-08-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho