Douglas L Fulk in Carbondale - Diagnostic Radiology

Douglas L Fulk - NPI 1992780050

Douglas L Fulk is a Diagnostic Radiology in Carbondale, Illinois. Douglas L Fulk practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Douglas L Fulk is 1992780050. The last update date is 2011-03-09.

Douglas L Fulk's current location address is 1200 Cedar Ct, Carbondale, Illinois. You can contact this provider via phone number 6185298500 and fax number 6185491000. The mailing address for Douglas L Fulk is 1200 Cedar Ct, Carbondale, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas L Fulk
Address 1200 Cedar Ct, Carbondale, Illinois
Phone Number 6185298500
Fax Number 6185491000
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992780050
Provider Enumeration Date 2005-12-13
Last Updated Date 2011-03-09

Provider Mailing Address Detail

Address 1200 Cedar Ct
City Carbondale
State Illinois (IL)
Post Code 629015334
Phone Number 6185298500
Fax Number 6185491000

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 36091745
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
036091745-1 IL --

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FAQs about Douglas L Fulk

What is the unique 10-digit identifier code assigned to Douglas L Fulk by the Centers for Medicare & Medicaid Services?

The Douglas L Fulk has been issued the NPI (National Provider Identifier) 1992780050 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Douglas L Fulk's facilities are situated?

The facilities of Douglas L Fulk are physically located at the following address: 1200 Cedar Ct, Carbondale, IL, 629015334.

What is Douglas L Fulk's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Douglas L Fulk is Diagnostic Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0202X.

When was the Douglas L Fulk's 1992780050 issued?

The Douglas L Fulk's 1992780050 was issued on 2005-12-13.

As of what date was the information pertaining to Douglas L Fulk, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Douglas L Fulk, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-03-09.

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