Search › Utah › MOHS-Micrographic Surgery Physician
Jake Fagan, MD
NPI 1548688989 · on the registry since 2014
Practice
- Address
- 1055 N 500 W # 111
Provo, UT 84604 - Phone
- (801) 374-8999
Additional practice sites
- 801 N 29th St, Billings, MT
Registry record
- Primary taxonomy
- MOHS-Micrographic Surgery Physician
207ND0101X
- Also registered as
- Dermatology Physician
MOHS-Micrographic Surgery Physician
MOHS-Micrographic Surgery Physician
Surgical Oncology Physician
Student in an Organized Health Care Education/Training Program - Licence states on file
- MT, UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-17
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah