Individual
DR. MATTHEW BERNARD FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5115 BERNARD DR STE 201, ROANOKE, VA 24018-4367
(540) 345-0289
(540) 345-9569
Mailing address
PO BOX 13306, ROANOKE, VA 24032-3306
(540) 345-0289
(540) 345-9569
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0102201846
VA
Other
Enumeration date
06/03/2006
Last updated
02/06/2019
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