Individual
JAMES P. FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Mailing address
275 W MACARTHUR, OAKLAND, CA 94611-5641
(510) 752-1000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E2313
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E23130
—
CA
Enumeration date
11/01/2006
Last updated
09/16/2014
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