Individual
MICHAEL R FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 STANTON L YOUNG BLVD, WP2530, OKLAHOMA CITY, OK 73104-5020
(405) 271-4351
Mailing address
1122 NE 13TH ST, ORI 236, OKLAHOMA CITY, OK 73117-1039
(405) 271-1515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0051923
OK
Other
Enumeration date
03/09/2006
Last updated
07/03/2008
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