Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL LYLE HAGUE, MD
ActiveSAMUEL LYLE HAGUE, MD is a Family Medicine healthcare provider located in BLACKWELL, Oklahoma. NPI 1528064763 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLACKWELL, OK
Registration Details
- NPI Number
- 1528064763
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2005 (20.963111234775 yrs)
- Last Updated
- Mar 25, 2008
- License
-
22530 (OK)
Practice Information
- Address
-
1009 W FERGUSON AVEBLACKWELL, OK, 746315602Browse OK providers · Browse ZIP 74631
- Phone
- 5803630052
- Fax
- 5803630894
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in BLACKWELL, OK
| Name | Credential | NPI |
|---|---|---|
| JEFFREY ROBERT SHUART | M.D. | 1114923489 |
| PAUL A. BRIGGS | M.D. | 1528064805 |
| PHIL JAMES GREEN | PAC | 1083610752 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.