Individual
DR. PAUL S FULLERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1631 HOSPITAL DR, SUITE 110, SANTA FE, NM 87505-4728
(505) 982-7246
(505) 983-4812
Mailing address
1631 HOSPITAL DR, SUITE 110, SANTA FE, NM 87505-4728
(505) 982-7246
(505) 983-4812
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A893-89
NM
207LP2900X
Pain Medicine (Anesthesiology) Physician
A893-89
NM
Other
Enumeration date
07/31/2006
Last updated
09/11/2025
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