Individual provider · Type 1 NPI

Robert John Hagenberg Iii, MD

Emergency Medical Services (Emergency Medicine) Physician · Meridian, ID

NPI number 1841679669 Active

Practice location

3080 E Gentry Way Ste 210
Meridian, ID 83642

Call (208) 810-2309 Map

Mailing address

1501 N Campbell Ave
Tucson, AZ 85724-0001

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004XR75074 (AZ)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

13 other providers at this address

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About NPI 1841679669

Robert John Hagenberg Iii, MD's National Provider Identifier is 1841679669, issued on May 26, 2015. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Meridian, ID. The record was last updated on Jun 27, 2018.