Dr. Alice Marie Fagin
Surgeon Trauma Surgeon Surgical Critical Care and 3 more
1 Childrens Way # 210
Little Rock
, Arkansas 72202-3500
Dr. Alice Marie Fagin
Surgeon Trauma Surgeon Surgical Critical Care and 3 more
1 Childrens Way # 210
Little Rock
, Arkansas 72202-3500
(501) 364-4082
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Alice Marie Fagin
- 1 Childrens Way # 653
- Little Rock, AR
- Zip : 72202-3500
- Fax : (501) 364-4082
- Phone : (501) 364-1100
Second Address
- Dr. Alice Marie Fagin
- 1 Childrens Way # 210
- Little Rock, AR
- Zip : 72202-3500
- Fax : (501) 364-4082
- Phone : (501) 364-1100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | E-9042 | AR |
| N | 208600000X | Surgeon | E-9042 | AR |
| N | 208200000X | Surgeon | MD-40377 | IA |
| N | 208600000X | Surgeon | MD-40377 | IA |
| N | 2086S0102X | Surgical Critical Care | 59557 | AZ |
| N | 2086S0102X | Surgical Critical Care | MD-40377 | IA |
| N | 2086S0127X | Trauma Surgeon | 59557 | AZ |
| Y | 2086S0127X | Trauma Surgeon | E-9042 | AR |
| N | 2086S0127X | Trauma Surgeon | MD-40377 | IA |
National Provider Identifier
| NPI | 1194995837 |
|---|---|
| Provider Name | Dr. Alice Marie Fagin |
| First Address | Little Rock, AR 72202-3500 |
| Second Address | Little Rock, AR 72202-3500 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/03/2008 |
| Last Update Date | 11/09/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.