Individual
BRIAN SCOTT FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1155 WASHINGTON PIKE STE 45A, BRIDGEVILLE, PA 15017-2827
(412) 302-5299
Mailing address
100 TRICH DR STE 2, WASHINGTON, PA 15301-5990
(724) 225-8657
(724) 884-0762
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051934
PA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/02/2005
Last updated
09/05/2024
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