Individual
GARY L FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
21258 E RITTENHOUSE RD, QUEEN CREEK, AZ 85142-7579
(602) 570-4334
Mailing address
22670 E DUNCAN ST, QUEEN CREEK, AZ 85142-9090
(602) 570-4334
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN161227
AZ
Other
Enumeration date
06/01/2020
Last updated
06/01/2020
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