Marie Louise Fagan, IDC - San Diego, CA

Marie Louise Fagan, IDC

Military Health Care Provider in San Diego, California

NPI 1104261726

Marie Louise Fagan is a Military Health Care Provider based in San Diego, CA. Marie Louise Fagan practices in San Diego, CA and has the professional credentials of IDC. The NPI Number for Marie Louise Fagan is 1104261726 and holds a License No. (California).

The current practice location address for Marie Louise Fagan is 4077 32Nd St, San Diego, CA and can be reached out via phone at 678-764-4067.

Location: 4077 32Nd St, San Diego, CA, 92104-2080

NPI Number

1104261726

Provider Name

Marie Louise Fagan

Credential

IDC

Provider Entity Type

Individual

Gender

Female

Address

4077 32Nd St, San Diego, CA, 92104-2080

Phone Number

678-764-4067

Fax Number

Provider Enumeration Date

05/09/2013

Last Update Date

03/09/2024

Identifier	Type	State	Issuer
1710-1002X	01		IDC

Address

4077 32Nd St

City

San Diego

State

California

Zip

92104-2080

Phone Number

678-764-4067

Fax Number

Address

4077 32Nd St

City

San Diego

State

California

Zip

92104-2080

Phone Number

678-764-4067

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.