Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PETER FAST, M.D.
ActiveSports Medicine · MUSKOGEE, OK
Registration Details
- NPI Number
- 1255699435
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2012 (14.02083758642 yrs)
- Last Updated
- Mar 28, 2018
- Licenses
-
29225 (OK)29225 (OK)
Practice Information
- Address
-
2900 N MAIN ST STE 101MUSKOGEE, OK, 744014078Browse OK providers · Browse ZIP 74401
- Phone
- 9186842663
- Fax
- 9186816804
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.