Individual
DAVID ROBIN FULCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
575 RIVERGATE, ANIMAS SURGICAL HOSPITAL, DURANGO, CO 81301-7487
(970) 375-6297
(970) 385-1876
Mailing address
PO BOX 78, DURANGO, CO 81302-0078
(970) 375-6297
(970) 385-1876
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
DR.0049896
CO
207L00000X
Anesthesiology Physician
J2013
TX
207L00000X
Anesthesiology Physician
Primary
OS7822
FL
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS7822
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06768
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/08/2006
Last updated
11/19/2015
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