SearchPennsylvania2086S0129X

Walter Fagan, M.D

NPI 1659703635 · on the registry since 2013 · sole proprietor

Practice

Address
211 Center Ave
Jim Thorpe, PA 18229
Phone
(817) 845-1968

Registry record

Primary taxonomy
2086S0129X
2086S0129X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-01

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 Pennsylvania