Donna K. Fagan PA

NPI 1114241106 - Physician Assistant - 363AM0700X

NPI Details
NPI 1114241106
Gender Female
Enumeration Date 03/18/2010
Last Updated 03/18/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
SANTA BARBARA CA, 93105-4310, US
Phone (805) 681-1761
Fax (805) 681-1768
Business Location
PO BOX 62106
SANTA BARBARA CA, 93160-2106, US
Phone (805) 681-1761
Fax (805) 681-1768
Taxonomy Code 363AM0700X
License State California
License Number PA20881
Remove 1114241106 NPI Number

According to our database, Donna K. Fagan PA NPI is 1114241106, taxonomy code is 363AM0700X and license number is PA20881, license state is located at California. Donna K. Fagan PA physically located at 317 W Pueblo St, Santa Barbara CA, 93105-4310. NPI Number Donna K. Fagan PA has the Individual type.

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1114241106 NPI number is provided on an as is basis without warranty of any kind. 1114241106 is maintained by the National Plan & Provider Enumeration System. The contents of Donna K. Fagan PA are for informational purposes only.