Search › Arizona › 363A00000X
Gary Fulkerson, P.A
NPI 1730165176 · on the registry since 2005
Practice
- Address
- 3001 N Main St Ste 1c
Prescott Valley, AZ 86314 - Phone
- (928) 458-5470
- Fax
- (928) 458-5979
- Organisation at this address
- Sage Counseling, Inc.
Hometown Healthcare Llc
Clarisa I. Smith, Md PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
363AM0700X - Licence states on file
- UT, NV, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-27
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