Michael Brendan Fagan, PA Valid NPI

Individual provider · Medical Physician Assistant · Auburn, AL

NPI

1902262124

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

PA.1112 (AL)

Sex

Male

Sole proprietor

No

Enumerated

2016-01-04

Last updated

2021-02-09