Dean Roy Fullingim in Tulsa - Diagnostic Radiology
Dean Roy Fullingim - NPI 1770574253
Dean Roy Fullingim is a Diagnostic Radiology in Tulsa, Oklahoma. Dean Roy Fullingim practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Dean Roy Fullingim is 1770574253. The last update date is 2017-03-28.
Dean Roy Fullingim's current location address is 4500 S Garnett Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9187286194 and fax number 9186642521. The mailing address for Dean Roy Fullingim is 4500 S Garnett Rd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dean Roy Fullingim |
|---|---|
| Address | 4500 S Garnett Rd, Tulsa, Oklahoma |
| Phone Number | 9187286194 |
| Fax Number | 9186642521 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1770574253 |
|---|---|
| Provider Enumeration Date | 2005-11-02 |
| Last Updated Date | 2017-03-28 |
Provider Mailing Address Detail
| Address | 4500 S Garnett Rd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741465229 |
| Phone Number | 9187286194 |
| Fax Number | 9186642521 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1610 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100093690A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dean Roy Fullingim by the Centers for Medicare & Medicaid Services (CMS)?
The Dean Roy Fullingim has been assigned the NPI (National Provider Identifier) 1770574253. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Dean Roy Fullingim?
The Dean Roy Fullingim is physically situated at 4500 S Garnett Rd, in the city of Tulsa, state of OK, with the postal code 741465229.
What is the area of specialization for Dean Roy Fullingim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Dean Roy Fullingim is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1770574253 to Dean Roy Fullingim?
The Dean Roy Fullingim received its 1770574253 assignment from the Centers for Medicare & Medicaid Services on 2005-11-02.
When was the Dean Roy Fullingim's information last updated?
The Dean Roy Fullingim's information was last updated on 2017-03-28.