Search › Arizona › 111N00000X
Misty Fullerton, D.C
NPI 1508120700 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2801 W Northern Ave
Phoenix, AZ 85051 - Phone
- (602) 242-7537
- Fax
- (602) 242-4169
- Organisation at this address
- Arizona Life Chiropractic Center, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-07-02
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 Arizona