NPI 1093848335

John D Fugate, OD

Practitioner Optometrist Shiprock, NM

Practice location

Address: US Hwy 491north Northern Navajo Medical Center, Shiprock, NM 87420
Phone: (505) 368-7038
Mailing address: PO Box 160 Northern Navajo Medical Center, Shiprock, NM 87420

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1063 (CO)

Other Optometrist providers in New Mexico →

Registry record

NPI: 1093848335
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2007
Record last updated: 11 Mar 2008

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.