Individual
SEAN FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, ATTN: MCXP-DQS-CR, FORT LEONARD WOOD, MO 65473
(573) 796-0035
Mailing address
GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL, ATTN: MCXP-DQS-CR, FORT LEONARD WOOD, MO 65473
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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