M J Fulton O.D.

NPI 1407929540 - Optometrist - 152WC0802X

NPI Details
NPI 1407929540
Gender Male
Enumeration Date 11/16/2006
Last Updated 12/14/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
250 E TUCKER RD STE B
LIBERAL KS, 67901-2188, US
Phone (620) 624-6166
Fax
Business Location
250 E TUCKER RD STE B
LIBERAL KS, 67901-2188, US
Phone (620) 624-6166
Fax
Toxanomy
Taxonomy Code 152WC0802X
License State Kansas
License Number 1009
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According to our database, Dr. M J Fulton O.D. NPI is 1407929540, taxonomy code is 152WC0802X and license number is 1009, license state is located at Kansas. M J Fulton O.D. physically located at 250 E Tucker Rd Ste B, Liberal KS, 67901-2188. NPI Number M J Fulton O.D. has the Individual type.

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1407929540 NPI number is provided on an as is basis without warranty of any kind. 1407929540 is maintained by the National Plan & Provider Enumeration System. The contents of M J Fulton O.D. are for informational purposes only.