David B Fagan in Saint Louis - Orthopaedic Surgery

David B Fagan - NPI 1952354763

David B Fagan is a Orthopaedic Surgery in Saint Louis, Missouri. David B Fagan practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for David B Fagan is 1952354763. The last update date is 2017-03-14.

David B Fagan's current location address is 12700 Southfork Rd, Saint Louis, Missouri. You can contact this provider via phone number 3145435284 and fax number 3145435276. The mailing address for David B Fagan is 12700 Southfork Rd, Saint Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name David B Fagan
Address 12700 Southfork Rd, Saint Louis, Missouri
Phone Number 3145435284
Fax Number 3145435276
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1952354763
Provider Enumeration Date 2006-05-19
Last Updated Date 2017-03-14

Provider Mailing Address Detail

Address 12700 Southfork Rd
City Saint Louis
State Missouri (MO)
Post Code 631283201
Phone Number 3145435284
Fax Number 3145435276

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 104219
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
951589 MO AETNA
3011602 MO MEDICARE
339440 MO GROUP HEALTH PLAN
200022602 MO MEDICARE RAILROAD
907145 MO UNITED HEALTHCARE
17983 MO BLUE CROSS BLUE SHIELD
222596 MO HEALTHLINK

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FAQs about David B Fagan

What is the unique identification code assigned to David B Fagan by the Centers for Medicare & Medicaid Services?

The David B Fagan has been issued the NPI (National Provider Identifier) 1952354763. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of David B Fagan?

The David B Fagan is situated at 12700 Southfork Rd, in the city of Saint Louis, state of MO, with the zip code 631283201.

What is David B Fagan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for David B Fagan is Orthopaedic Surgery, and the taxonomy code that classifies this field of practice is 207X00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1952354763 to David B Fagan?

The David B Fagan received its 1952354763 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.

When was the information pertaining to David B Fagan most recently updated or revised?

The details related to David B Fagan, including its address, specialty, and other relevant information, were last updated or revised on 2017-03-14.

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