Individual
DR. BRUCE GARY FAGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N CRESCENT DR, SUITE 360, BEVERLY HILLS, CA 90210-5408
(310) 281-8700
(310) 281-5656
Mailing address
100 N CRESCENT DR, SUITE 360, BEVERLY HILLS, CA 90210-5408
(310) 281-8700
(310) 281-5656
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G31252
CA
Other
Enumeration date
09/30/2012
Last updated
09/30/2012
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