Individual
MAURA CATHARINE FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2001 N HORSESHOE TRL, SILT, CO 81652-9832
(970) 876-5700
Mailing address
300 WULFSOHN RD APT C408, GLENWOOD SPRINGS, CO 81601-9015
(814) 319-2068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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