Individual
DR. FALON D FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 833-3378
(405) 758-5582
Mailing address
14101 PARKWAY COMMONS DR, OKLAHOMA CITY, OK 73134-6012
(405) 833-3378
(405) 758-5582
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15286
OK
207L00000X
Anesthesiology Physician
Primary
15286
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12114632
CAQH
OK
Enumeration date
06/15/2005
Last updated
08/13/2025
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