Earl Anthony Fuqua

NPI #1184490468 in Bartlesville, Oklahoma

Provider Information

NPI Number: 1184490468
Entity Type: Individual
Name: Earl Anthony Fuqua
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Nov 28, 2023
Last Updated: Nov 28, 2023

Practice Location

Address: 700 S PENN AVE
City: Bartlesville
State: Oklahoma
ZIP Code: 74003-3847
Phone: (844) 458-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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