Daniel Allen Hagerman, PA

Physician Assistant · Carbondale, IL

Individual Active NPI

NPI number 1790334944

Practice location

300 W Oak St
Carbondale, IL 62901
Phone
(618) 536-6621

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NPI record

NPI
1790334944
Entity type
Individual (Type 1)
Enumeration date
September 10, 2019
Last updated
December 23, 2020
Certified
December 23, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — —

Mailing address

300 W Oak St
Carbondale, IL 62901-1400
Phone
(618) 932-3937

Other practice locations (1)

  • 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 · (618) 932-3937

About Daniel Hagerman

Daniel Allen Hagerman, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 300 W Oak St, Carbondale, IL 62901. The NPI number 1790334944 was assigned on September 10, 2019 and the record was last updated on December 23, 2020.

Frequently asked questions

What is the NPI number of Daniel Allen Hagerman, PA?

The NPI number is 1790334944.

What is the phone number of Daniel Hagerman?

The phone number listed for the practice location is (618) 536-6621.

Where is Daniel Hagerman located?

300 W Oak St, Carbondale, IL 62901.

What is the taxonomy code for Daniel Hagerman?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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