| Michelle L Fugitt Do Pllc | |
|
1615 S Eucalyptus Ave Suite 210 Broken Arrow OK 74012-5990 | |
| (918) 392-7606 | |
| (918) 392-7607 |
| Full Name | Michelle L Fugitt Do Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1615 S Eucalyptus Ave, Broken Arrow, Oklahoma |
| Authorized Official Name and Position | Michelle Lynn Fugitt (DO/ OWNER) |
| Authorized Official Contact | 9183927606 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Fugitt Do Pllc 1615 S Eucalyptus Ave Suite 210 Broken Arrow OK 74012-5990 Ph: (918) 392-7606 | Michelle L Fugitt Do Pllc 1615 S Eucalyptus Ave Suite 210 Broken Arrow OK 74012-5990 Ph: (918) 392-7606 |
| NPI Number | 1861413510 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 01/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861413510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4255 (Oklahoma) | Primary |
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