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Individual

DR. DANIEL G FAGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 341-3575
(859) 341-5702
Mailing address
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017-3409
(859) 341-3575
(859) 341-5702

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
27847
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000049611
ANTHEM
05
0836822
OH
01
1000003830
MEDICARE RAILROAD
05
100338080
IN
05
64278476
KY
Enumeration date
06/28/2005
Last updated
11/13/2014
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