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 |
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Address | 1200 Cedar Ct, Carbondale, Illinois |
Phone Number | 6185298500 |
Fax Number | 6185491000 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1992780050 |
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Provider Enumeration Date | 2005-12-13 |
Last Updated Date | 2011-03-09 |
Provider Mailing Address Detail
Address | 1200 Cedar Ct |
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City | Carbondale |
State | Illinois (IL) |
Post Code | 629015334 |
Phone Number | 6185298500 |
Fax Number | 6185491000 |
Provider's Primary Taxonomy Detail
Speciality | Diagnostic Radiology |
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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 |
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036091745-1 | IL | -- |
Post Comment/ Review Below
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.