Mccall Fagan, PA-C

NPI #1528052289 in Murray, Utah

Provider Information

NPI Number
1528052289
Entity Type
Individual
Name
Mccall Fagan, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Sep 8, 2005
Last Updated
Dec 10, 2008

Practice Location

Address
5323 SOUTH WOODROW STREET
Address 2
SUITE 200
City
Murray
State
Utah
ZIP Code
84107
Phone
(801) 747-1020

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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