Johnathan Fagg, MD

NPI 1811427636 · on the registry since 2017

Practice

Address: 621 S New Ballas Rd Ste 228a
Saint Louis, MO 63141
Phone: (314) 251-4968
Fax: (217) 545-4734
Organisation at this address: Gsh Lab Llc
Eric Colton Md Pc
Selwyn Picker Inc
Luis A Giuffra Llc
Matthew Wilson Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 564

Registry record

Primary taxonomy: 207RP1001X
207RP1001X
Also registered as: 207RP1001X
Licence states on file: IL, MO
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-10-05

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