Individual
DR. JOEL ANDREW FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
BLDG 22190, CAMP PENDLETON, CA 92058-2111
(760) 725-2969
Mailing address
104 BURROWS CT, OCEANSIDE, CA 92058-8363
(623) 225-5982
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
0102203655
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/07/2012
Last updated
01/17/2020
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