Individual
REGAN S. FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 N 34TH ST STE 100, SEATTLE, WA 98103-8675
(206) 374-9000
(206) 774-3412
Mailing address
551 N 34TH ST STE 100, SEATTLE, WA 98103-8675
(206) 374-9000
(206) 774-3412
Taxonomy
Speciality
Code
Description
License number
State
207ZI0100X
Immunopathology Physician
Primary
A65436
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A654360
—
CA
Enumeration date
11/01/2006
Last updated
09/03/2014
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