Individual
DR. ANDREW J FRAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACS
Contact information
Practice address
1180 N INDIAN CANYON DR, SUITE E205, PALM SPRINGS, CA 92262-4800
(760) 323-6322
Mailing address
1180 N INDIAN CANYON DR STE E421, PALM SPRINGS, CA 92262-4882
(760) 424-8224
(760) 424-8227
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G83291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G83291
STATE LICENSE NUMBER
CA
Enumeration date
04/06/2006
Last updated
07/27/2018
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