Individual
DR. ANDREW PAUL FULKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4311 E LOHMAN AVE, LAS CRUCES, NM 88011-8255
(575) 556-7600
Mailing address
3502 HERMOSILLO CT, LAS CRUCES, NM 88005-1197
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
128379
NM
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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