person
Ms. Stacy Louise Fagan, PA
Medical Physician Assistant in Oklahoma City, Oklahoma
NPI 1841444098

Stacy Louise Fagan is a Medical Physician Assistant based in Oklahoma City, OK and is specialized in Medical. Stacy Louise Fagan practices in Oklahoma City, OK and has the professional credentials of PA. The NPI Number for Stacy Louise Fagan is 1841444098 and holds a License No. 1779 (Oklahoma).

The current practice location address for Stacy Louise Fagan is 2512 N Meridian Ave, Oklahoma City, OK and can be reached out via phone at 405-605-5415 and via fax at 405-605-5310.

Location: 2512 N Meridian Ave, Oklahoma City, OK, 73107-1035
person
Provider Profile Details
NPI Number
1841444098
Provider Name
Stacy Louise Fagan
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2512 N Meridian Ave, Oklahoma City, OK, 73107-1035
Phone Number
405-605-5415
Fax Number
405-605-5310
Provider Enumeration Date
11/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2512 N Meridian Ave
City
State
Zip
73107-1035
Phone Number
405-605-5415
Fax Number
405-605-5310
person
Provider Business Mailing Address Details
Address
2512 N Meridian Ave
City
State
Zip
73107-1035
Phone Number
405-605-5415
Fax Number
405-605-5310
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1779 (Oklahoma)
Definition
Definition to come...
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