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1235112061
SUSAN G HAGSTROM
PHOENIX, AZ
NPI
1235112061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 23438)
Enumeration Date
2005-11-25
Last Update Date
2020-09-10
Business Address
Dr. SUSAN G HAGSTROM M.D.
5779 E MAYO BLVD
PHOENIX, AZ 85054
Phone number: 480-301-8000
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Mailing Address
Dr. SUSAN G HAGSTROM M.D.
5779 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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