| 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 |