John Alan Fuller
Obstetrician & Gynecologist
5101 W Memorial Rd
Oklahoma City
, Oklahoma 73142-2018
John Alan Fuller
Obstetrician & Gynecologist
5101 W Memorial Rd
Oklahoma City
, Oklahoma 73142-2018
(405) 752-9650
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About
Features
Specialties
- Obstetrician & Gynecologist
Languages spoken
- English
Location
First Address
- John Alan Fuller
- 5101 W Memorial Rd
- Oklahoma City, OK
- Zip : 73142-2018
- Fax : (405) 752-9650
- Phone : (405) 752-9600
Second Address
- John Alan Fuller
- 5101 W Memorial Rd
- Oklahoma City, OK
- Zip : 73142-2018
- Fax : (405) 752-9605
- Phone : (405) 752-9600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 14299 | OK |
National Provider Identifier
| NPI | 1003816364 |
|---|---|
| Provider Name | John Alan Fuller |
| First Address | Oklahoma City, OK 73142-2018 |
| Second Address | Oklahoma City, OK 73142-2018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/07/2005 |
| Last Update Date | 14/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100824640B | (05) | OK |
| D39119 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.