Individual
DR. ERIC J. FULNECKY
Active
Individual
DR. ERIC J. FULNECKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
2004006990
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209153907
—
MO
01
—
431560263
TRICARE
—
01
—
P00207385
RAILROAD MEDICARE
—
Enumeration date
12/01/2006
Last updated
07/11/2008
Update your record
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