Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN DAVID FAGAN, M.D.
ActiveJOHN DAVID FAGAN, M.D. is a Urology healthcare provider located in VICKSBURG, Mississippi. NPI 1801827019 is currently active in the NPPES registry. Verify at CMS.
Urology · VICKSBURG, MS
Registration Details
- NPI Number
- 1801827019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (20.110799207729 yrs)
- Last Updated
- Sep 10, 2020
- License
-
12624 (MS)
Practice Information
- Address
-
2200 HIGHWAY 61 NVICKSBURG, MS, 391838246Browse MS providers · Browse ZIP 39183
- Phone
- 6018835940
- Primary Specialty
-
Urology
208800000X
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.