Individual
THOMAS D. FULBRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2900 S NATIONAL AVE, SPRINGFIELD, MO 65804-3634
(417) 885-3888
(417) 881-7268
Mailing address
PO BOX 9434, SPRINGFIELD, MO 65801-9434
(417) 885-3888
(417) 881-7638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
036075293
IL
207T00000X
Neurological Surgery Physician
Primary
2013029759
MO
Other
Enumeration date
08/09/2006
Last updated
09/06/2013
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