| NPI | 1720189012 |
|---|---|
| Professional Name | JAMES ROGER FAGAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: ME DL95) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: ME AP25) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |