NPI 1033395561
Martha S Hageman, MD
Practice location
- Address
- 122 Petersen Pkwy STE 4, Thayne, WY 83127
- Phone
- (307) 883-5852
- Fax
- (307) 883-4436
Registered specialties
Family Medicine Physician
Primary
Registry record
- NPI
- 1033395561
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 15 Jan 2008
- Record last updated
- 30 Mar 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.