Jake Fagan, MD

MICROGRAPHIC DERMATOLOGIC SURGERY (MDS)

1055 N 500

Suite 111

Provo, UT 846043305

(801) 374-8999

**NPI:** 1548688989

**Med School:** WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE

**Experience:** 11 years

**Telehealth:** No

**Medicare Assignment:** Yes

**Secondary Specialties:** DERMATOLOGY

Practice Locations (1)

CENTRAL UTAH CLINIC PC

1055 N 500, Suite 111
Provo, UT 846043305

Phone: (801) 374-8999

**Group ID:** 7517868508 | **Group Size:** 388 members

No hospital affiliations reported.

MIPS performance data is not available or not publicly reported.

Melanoma (skin cancer) excision

102 procedures (Top 93% volume)