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NPI Profile for Dr ROBERT J HAGENBERG III in MERIDIAN, ID.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Emergency Medical Services |
207PE0004X | 93 | Physician/Emergency Medicine |
| NPI # | 1841679669 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 05/26/2015 | |
| Last updated | 06/27/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ROBERT J HAGENBERG III
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ROBERT J HAGENBERG III, MD