Individual
DR. MICHELLE FUGITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1615 S EUCALYPTUS AVE, SUITE 210, BROKEN ARROW, OK 74012-5990
(918) 392-7606
(918) 392-7607
Mailing address
1615 S EUCALYPTUS AVE, SUITE 210, BROKEN ARROW, OK 74012-5990
(918) 392-7606
(918) 392-7607
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4255
OK
Other
Enumeration date
03/23/2006
Last updated
10/22/2007
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