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Timothy Fagen, D.O
NPI 1750315958 · on the registry since 2006
Practice
- Address
- 1402 S Grand Blvd Ste M260
St Louis University Gme
Saint Louis, MO 63104 - Phone
- (314) 577-8782
- Organisation at this address
- St Louis University
St. Louis University
Ssm Health Care Group
Saint Louis UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 175
Registry record
- Primary taxonomy
- Anatomic Pathology & Clinical Pathology Physician
207ZP0102X
- Also registered as
- General Practice Physician
General Practice Physician - Licence states on file
- MI, HI, MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-11
- 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 Missouri