Individual
CHRISTIAN ALAN FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
20284 JAPATUL RD, ALPINE, CA 91901-3459
(619) 609-1061
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
T-5425
MS
Other
Enumeration date
03/26/2024
Last updated
07/08/2024
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