Individual
DR. GAIL LYNN FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10030 SW 210TH ST, VASHON, WA 98070-6584
(206) 463-3671
(206) 463-3613
Mailing address
PO BOX 3835, SEATTLE, WA 98124-3835
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00027813
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62095
LABOR & INDUSTRIES
WA
05
—
8126757
—
WA
01
—
98404A008
TRICARE
VA
01
—
FU1446
REGENCE
WA
Enumeration date
06/14/2006
Last updated
09/14/2016
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