Individual
DR. SHAWN ROBERT FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
700 24TH AVE NW, NORMAN, OK 73069-6232
(405) 364-0555
(405) 573-5483
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 364-0555
(405) 573-5483
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5376
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2012
Last updated
02/03/2016
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