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Jonathan Brett Fugitt, MD
Diagnostic Radiology Physician in Placerville, California
NPI 1588635684

Jonathan Brett Fugitt is a Diagnostic Radiology Physician based in Placerville, CA and is specialized in Diagnostic Radiology. Jonathan Brett Fugitt practices in Placerville, CA and has the professional credentials of MD. The NPI Number for Jonathan Brett Fugitt is 1588635684 and holds a License No. A85990 (California).

The current practice location address for Jonathan Brett Fugitt is 1100 Marshall Way, Placerville, CA and can be reached out via phone at 530-626-2774 and via fax at 509-248-0178.

Location: 1100 Marshall Way, Placerville, CA, 95667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588635684
Provider Name
Jonathan Brett Fugitt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Marshall Way, Placerville, CA, 95667
Phone Number
530-626-2774
Fax Number
509-248-0178
Provider Enumeration Date
01/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GR0053460 05 CA
institution
Provider Business Practice Location Address Details
Address
1100 Marshall Way
City
Placerville
State
California
Zip
95667
Phone Number
530-626-2774
Fax Number
509-248-0178
person
Provider Business Mailing Address Details
Address
1100 Marshall Way
City
Placerville
State
California
Zip
95667
Phone Number
530-626-2774
Fax Number
509-248-0178
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
A85990 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
A85990 (California)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A85992 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
A85990 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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