Individual
MR. PHILIP FAGAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(412) 951-9701
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(412) 951-9701
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A163621
CA
Other
Enumeration date
03/26/2018
Last updated
08/04/2025
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