NPI 1215392865

Blake Hageman

Practitioner Radiologic Technologist Manhattan, KS

Practice location

Address: 1105 Sunset Ave, Manhattan, KS 66502-3761
Phone: (785) 532-7755
Fax: (785) 532-6627

Registered specialties

Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247100000X Licence 22-04536 (KS)

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Registry record

NPI: 1215392865
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Dec 2015
Record last updated: 28 Dec 2015

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.