Fuller, John Alan

Fuller, John Alan is an individual health care provider with primary practice located at 5101 W Memorial Rd , Oklahoma City OK 73142-2018. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fuller, John Alan can be contacted via phone (405) 752-9600.

Contact Information

Primary practice address
5101 W Memorial Rd Oklahoma City OK 73142-2018
Phone: (405) 752-9600
Fax: (405) 752-9605
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 14299 Oklahoma

Profile Details

NPI number 1003816364
LBN Legal business name Fuller, John Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated May 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003816364 NPPES
Oklahoma MEDICAID 100824640B

Popular Providers