SearchOklahoma152W00000X

Michael Fullerton, O.D

NPI 1215071949 · on the registry since 2007 · sole proprietor

Practice

Address
202 S Adair St
Pryor, OK 74361
Phone
(918) 825-0055
Fax
(918) 824-2000

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma