Individual
JOHN RONALD FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7709
Mailing address
7000 NE 98TH ST, OKLAHOMA CITY, OK 73151-9116
(918) 406-4344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0013R
OK
207P00000X
Emergency Medicine Physician
Primary
5556
OK
Other
Enumeration date
03/17/2014
Last updated
06/25/2014
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