Organization
MICHAEL D. FURGESON, M. D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DOUGLAS FURGESON M. D. (OWNER)
(405) 350-8100
Entity
Organization
Contact information
Practice address
508 W VANDAMENT AVE, SUITE 100, YUKON, OK 73099-4655
(405) 350-8100
(405) 350-6418
Mailing address
508 W VANDAMENT AVE, SUITE 100, YUKON, OK 73099-4655
(405) 350-8100
(405) 350-6418
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15287
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080133931
RAILROAD MEDICARE
OK
05
—
200101700A
—
OK
05
—
200101700B
—
OK
Enumeration date
04/29/2008
Last updated
02/28/2012
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