| Mr Steven Palmer Fitzgerald, CRNA | |
| 
					400 Fairview Ave Ste 50, Outpatient Surgical Center, Ponca City, OK 74601-1910  | |
| (580) 765-0673 | |
| (580) 765-0673 | 
| Full Name | Mr Steven Palmer Fitzgerald | 
|---|---|
| Gender | Male | 
| Speciality | Anesthesiology | 
| Location | 400 Fairview Ave Ste 50, Ponca City, Oklahoma | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1679599690 | NPI | - | NPPES | 
| 44442083003 | Other | OK | BCBS OKLAHOMA | 
| P00287646 | Other | OK | RR MEDICARE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207L00000X | Anesthesiology | R0033651 (Oklahoma) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Steven Palmer Fitzgerald, CRNA Po Box 2538, Ponca City, OK 74602-2538 Ph: (580) 765-0673  | Mr Steven Palmer Fitzgerald, CRNA 400 Fairview Ave Ste 50, Outpatient Surgical Center, Ponca City, OK 74601-1910 Ph: (580) 765-0673  | 
Jo Ellen Coldiron, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 400 Fairview Ave, Ste 50 Outpatient Surgical Ctr, Ponca City, OK 74601 Phone: 580-765-0673  |