Individual
ANGELA FULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
105 9TH AVE, BELLE PLAINE, IA 52208-2200
(319) 444-2840
Mailing address
300 W MAY ST STE A, MARENGO, IA 52301-1261
(319) 741-6789
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R9445
IA
Other
Enumeration date
07/17/2012
Last updated
01/08/2020
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