Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY D FAGEN, D.O.
ActiveAnatomic Pathology & Clinical Pathology · SAINT LOUIS, MO
Registration Details
- NPI Number
- 1750315958
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (19.781910417618 yrs)
- Last Updated
- Aug 11, 2010
- Licenses
-
5101017047 (MI)DOS 1120 (HI)2010014000 (MO)
Practice Information
- Address
-
1402 S GRAND BLVD STE M260ST LOUIS UNIVERSITY GMESAINT LOUIS, MO, 631041004Browse MO providers · Browse ZIP 63104
- Phone
- 3145778782
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- General Practice
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in SAINT LOUIS, MO
| Name | Credential | NPI |
|---|---|---|
| DR. EVELYN R. BANKS | M.D. | 1740288877 |
| MRS. SHAMEEM SAIFEE | MD | 1720071848 |
| DONALD A WITHROW | MD | 1386631190 |
| VERONICA D ZOTOS | MD | 1649267469 |
| RONNA F LODATO | MD | 1215924022 |
| STEVEN H NICHOLS | MD | 1124016456 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.