Marie Louise Fagan, IDC is a military health care provider in San Diego, CA. The provider is active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. Marie Louise Fagan, IDC NPI is 1104261726. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4077 32ND ST
APT 8
SAN DIEGO, CA
ZIP 92104-080
Phone: (678) 764-4067
The enumeration date for this NPI number is 5/9/2013 and was last updated on 5/9/2013.