NPI 1063062859

Ryan Fitzgerald

Practitioner Dentist Norman, OK

Practice location

Address: 4409 Green View Cir, Norman, OK 73072-3141
Phone: (405) 664-0662

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6930 (OK)

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Registry record

NPI: 1063062859
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2019
Record last updated: 13 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.