Individual provider · Type 1 NPI

Stacy Louise Fagan, P.A.

Medical Physician Assistant · Oklahoma City, OK

NPI number 1841444098 Active

About NPI 1841444098

Stacy Louise Fagan, P.A.'s National Provider Identifier is 1841444098, issued on Nov 13, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 9, 2011.