Individual
DOUGLAS S FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 W MAHONING ST, SUITE 200, PUNXSUTAWNEY, PA 15767-1308
(814) 938-0740
(814) 938-0750
Mailing address
120 IRMC DR, SUITE160, INDIANA, PA 15701-3674
(724) 465-2676
(724) 349-1830
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD034740E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014272070003
—
PA
01
—
CI1160
RAILROAD MEDICARE
PA
Enumeration date
03/25/2006
Last updated
04/25/2016
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