Individual
DAVID B FAGAN
Active
Individual
DAVID B FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
104219
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003011602
MEDICARE
MO
01
—
0907145
UNITED HEALTHCARE
MO
01
—
17983
BLUE CROSS BLUE SHIELD
MO
01
—
200022602
MEDICARE RAILROAD
MO
01
—
222596
HEALTHLINK
MO
01
—
339440
GROUP HEALTH PLAN
MO
01
—
951589
AETNA
MO
Enumeration date
05/19/2006
Last updated
03/14/2017
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