Organization
FULCRUM CLINIC LLC
Active
Other names
Fulcrum Health & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
SONYA DIANE FERGESON (OFFICE MANAGER AND CO-OWNER)
(405) 546-7888
Entity
Organization
Contact information
Practice address
1601 SW 89TH ST STE D100, OKLAHOMA CITY, OK 73159-6378
(405) 546-7888
(844) 518-2784
Mailing address
1601 SW 89TH ST STE D100, OKLAHOMA CITY, OK 73159-6378
(405) 546-7888
(844) 518-2784
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
72566
OK
Other
Enumeration date
06/20/2018
Last updated
12/07/2021
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