Individual
ERIC W FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, 4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1490
Mailing address
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, 4430 MISSOURI AVE, FORT LEONARD WOOD, MO 65473-9098
(573) 596-1490
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
03/10/2026
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