Nathan Michael Fagan, M.D. Valid NPI

Individual provider · Pediatric Radiology Physician · Columbus, OH

NPI

1235495458

Type

Individual (Type 1)

Primary specialty

Pediatric Radiology Physician (Radiology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2085P0229X

License number

35.133506 (OH)

Sex

Male

Sole proprietor

No

Enumerated

2012-04-02

Last updated

2022-05-19