Individual
TODD M FAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2114 N LINCOLN AVE, SUITE A, YORK, NE 68467-1072
(402) 362-5555
(402) 362-7137
Mailing address
2114 N LINCOLN AVE, SUITE A, YORK, NE 68467-1072
(402) 362-5555
(402) 362-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
23433
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055301100
—
NE
Enumeration date
07/31/2006
Last updated
04/29/2024
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