Individual
TROY MICHAEL FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-7738
(480) 856-9069
Mailing address
560 W BROWN RD STE 1011, MESA, AZ 85201-3222
(480) 509-7738
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
248871
AZ
2084P0800X
Psychiatry Physician
RN168108
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
248871
AZ
Other
Enumeration date
06/21/2020
Last updated
07/23/2024
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