Individual
DR. BRIAN T FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5855
(858) 571-7903
Mailing address
3020 CHILDRENS WAY, MC 5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
(858) 309-6301
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
A82153
CA
Other
Enumeration date
03/27/2007
Last updated
11/07/2014
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