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Individual

DR. STEPHEN PARKER FULTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
848 ADAMS AVE # L400, MEMPHIS, TN 38103-2816
(901) 287-6760
Mailing address
777 BANNOCK ST # MC3240, DENVER, CO 80204-4507
(303) 602-9157

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
40293
TN
2084E0001X
Epilepsy Physician
2023-03147
NC
2084N0400X
Neurology Physician
2023-03147
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2023-03147
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
40293
TN
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
DR.0067380
CO
2084N0600X
Clinical Neurophysiology Physician
01086892A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1548209257
NC
Enumeration date
06/06/2006
Last updated
12/29/2023
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