Individual
DR. EASTON MITCHELL SCOTT FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1000 N LEE AVE STE 1980, OKLAHOMA CITY, OK 73102-1080
(405) 272-8437
(405) 231-3007
Mailing address
1000 N LEE AVE STE 1980, OKLAHOMA CITY, OK 73102-1080
(405) 272-8437
(405) 231-3007
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/19/2022
Last updated
04/27/2022
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