Individual
DR. JAMES WESLEY FULTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, 350, FORT COLLINS, CO 80528-3400
(970) 221-2370
(970) 221-9654
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
DR.0056855
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04105737
—
CO
01
—
520883ZMHC
MEDICARE PTAN
CO
Enumeration date
08/29/2011
Last updated
01/25/2018
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