Individual
DR. MARLIN J FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 SW FIRST AMERICAN PL, TOPEKA, KS 66604-4059
(785) 234-2306
(785) 234-2550
Mailing address
1303 SW FIRST AMERICAN PL, TOPEKA, KS 66604-4059
(785) 234-2306
(785) 234-2550
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-30249
KS
2085R0202X
Diagnostic Radiology Physician
22513
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100458780B
—
KS
01
—
102945
BC/BS PREMIER BLUE
KS
Enumeration date
06/25/2006
Last updated
08/08/2016
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