John David Fagan, MD - Vicksburg, MS

John David Fagan, MD

Urology Physician in Vicksburg, Mississippi

NPI 1801827019

John David Fagan is a Urology Physician based in Vicksburg, MS. John David Fagan practices in Vicksburg, MS and has the professional credentials of MD. The NPI Number for John David Fagan is 1801827019 and holds a License No. 12624 (Mississippi).

The current practice location address for John David Fagan is 2200 Highway 61 N, Vicksburg, MS and can be reached out via phone at 601-883-5940.

Location: 2200 Highway 61 N, Vicksburg, MS, 39180

NPI Number

1801827019

Provider Name

John David Fagan

Credential

Provider Entity Type

Individual

Gender

Male

Address

2200 Highway 61 N, Vicksburg, MS, 39180

Phone Number

601-883-5940

Fax Number

Provider Enumeration Date

07/05/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
00016970	05	MS
4547365	01	MS	AETNA
1901474	05	LA

Address

2200 Highway 61 N

City

Vicksburg

State

Mississippi

Zip

39183-8246

Phone Number

601-883-5940

Fax Number

Address

2200 Highway 61 N

City

Vicksburg

State

Mississippi

Zip

39183-8246

Phone Number

601-883-5940

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Urology

Speciality

Taxonomy

208800000X

License No.

12624 (Mississippi)

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

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