Individual
DR. MICHAEL ALLEN NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24800 S. 4420 RD., VINITA, OK 74301-0069
(918) 256-7841
(918) 256-2952
Mailing address
PO BOX 69, VINITA, OK 74301-0069
(918) 256-7841
(918) 256-2952
Taxonomy
Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
25320
OK
2084P0800X
Psychiatry Physician
Primary
25320
OK
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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