SearchMissouri208000000X

Justin Hagen, D.O

NPI 1811152044 · on the registry since 2008 · sole proprietor

Practice

Address
404 N Keene Street
Suite 404
Columbia, MO 65201
Phone
(573) 777-7627
Fax
(573) 777-4596
Organisation at this address
Curators Of The University Of Missouri
Curators Of The University Of Missouri
Curators Of The University Of Missouri
Inferred from a shared address, not stated in the registry.
Clinicians at this address
82

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-08-05

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 Missouri