Individual provider · Type 1 NPI

Donna K. Fagan, PA

Medical Physician Assistant · Santa Barbara, CA

NPI number 1114241106 Active

Practice location

317 W Pueblo St
Santa Barbara, CA 93105-4310

Fax (805) 681-1768

Mailing address

PO Box 62106
Santa Barbara, CA 93160-2106

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA20881 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1114241106

Donna K. Fagan, PA's National Provider Identifier is 1114241106, issued on Mar 18, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Barbara, CA. The record was last updated on Mar 18, 2010.