Colony S Fugate DO

NPI 1073619425 - Pediatrics - 208000000X

NPI Details
NPI 1073619425
Gender Female
Enumeration Date 09/15/2006
Last Updated 04/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
717 SOUTH HOUSTON AVENUE SUITE 400
TULSA OK, 74127-9005, US
Phone (918) 382-4600
Fax
Business Location
2345 SOUTHWEST BLVD
TULSA OK, 74107-2705, US
Phone (918) 561-5701
Fax (918) 585-9273
Toxanomy
Taxonomy Code 208000000X
License State Oklahoma
License Number 3923
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According to our database, Colony S Fugate DO NPI is 1073619425, taxonomy code is 208000000X and license number is 3923, license state is located at Oklahoma. Colony S Fugate DO physically located at 717 South Houston Avenue Suite 400, Tulsa OK, 74127-9005. NPI Number Colony S Fugate DO has the Individual type.

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1073619425 NPI number is provided on an as is basis without warranty of any kind. 1073619425 is maintained by the National Plan & Provider Enumeration System. The contents of Colony S Fugate DO are for informational purposes only.