Individual
DR. ALEX EDWARD FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 558-7581
(513) 558-4399
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125073898
IL
208M00000X
Hospitalist Physician
Primary
35.147847
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
11/18/2024
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