Mr Steven Palmer Fitzgerald, CRNA | |
400 Fairview Ave Ste 50, Outpatient Surgical Center, Ponca City, OK 74601-1910 | |
(580) 765-0673 | |
(580) 765-0673 |
Full Name | Mr Steven Palmer Fitzgerald |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 400 Fairview Ave Ste 50, Ponca City, Oklahoma |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679599690 | NPI | - | NPPES |
44442083003 | Other | OK | BCBS OKLAHOMA |
P00287646 | Other | OK | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | R0033651 (Oklahoma) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Steven Palmer Fitzgerald, CRNA Po Box 2538, Ponca City, OK 74602-2538 Ph: (580) 765-0673 | Mr Steven Palmer Fitzgerald, CRNA 400 Fairview Ave Ste 50, Outpatient Surgical Center, Ponca City, OK 74601-1910 Ph: (580) 765-0673 |
Jo Ellen Coldiron, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Ave, Ste 50 Outpatient Surgical Ctr, Ponca City, OK 74601 Phone: 580-765-0673 |