MR. Ryan L Fagan, ATC LAT
NPI #1114991700 in Converse, Indiana
Provider Information
- NPI Number
- 1114991700
- Entity Type
- Individual
- Name
- MR. Ryan L Fagan, ATC LAT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC LAT
- Enumeration Date
- Feb 13, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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