Organization
MICHELLE L FUGITT DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE LYNN FUGITT D.O. (DO/ OWNER)
(918) 392-7606
Entity
Organization
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
07/21/2006
Last updated
01/24/2008
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