| Doctor Name: | DR. DANIEL H FAGERSON |
| NPI Number: | 1316167877 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G86628 |
| Business Practice Address: | 12264 El Camino Real Suite 102 San Diego, CA - 921303058 |
| Business Phone Number: | 8585239700 |
| Business Fax Number: | 8585239711 |
| Mailing Address: | 1111 Opal St, SAN DIEGO |
| State: | CA |
| Postal Code: | 921091831 |
| Phone Number: | 8582730911 |
| Fax Number: | 8582730911 |
| NPI Enumeration Date: | 04/26/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | G86628 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |