Individual
RYAN P FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 MARKET CENTER WAY, DALEVILLE, VA 24083-3261
(540) 992-1251
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102204426
VA
Other
Enumeration date
03/19/2013
Last updated
08/11/2025
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