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Robert Hagenberg, M.D

NPI 1841679669 · on the registry since 2015

Practice

Address: 3080 E Gentry Way Ste 210
Meridian, ID 83642
Phone: (208) 810-2309
Organisation at this address: Lyon Medical Llc
Blackmer Podiatry
Nova Collective Llc
Lost River Wellness
Bluebird Hospice, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 26

Registry record

Primary taxonomy: Emergency Medical Services (Emergency Medicine) Physician
207PE0004X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-06-27

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