Provider Demographics
NPI:1023080223
Name:PFLUGHOFT, MICHAEL J (PA)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:J
Last Name:PFLUGHOFT
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Gender:M
Credentials:PA
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Mailing Address - Street 1:3400 W TECUMSEH RD
Mailing Address - Street 2:STE 101
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1810
Mailing Address - Country:US
Mailing Address - Phone:405-360-6764
Mailing Address - Fax:405-360-6769
Practice Address - Street 1:3400 W TECUMSEH RD
Practice Address - Street 2:STE 101
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73072-1810
Practice Address - Country:US
Practice Address - Phone:405-360-6764
Practice Address - Fax:405-360-6769
Is Sole Proprietor?:No
Enumeration Date:2006-02-02
Last Update Date:2014-02-28
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Provider Licenses
StateLicense IDTaxonomies
OK1200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100846090AMedicaid
OKP14674Medicare UPIN