NPI 1003816364

John Alan Fuller, MD

Practitioner Obstetrics & Gynecology Physician Oklahoma City, OK

Practice location

Address: 5101 W Memorial Rd, Oklahoma City, OK 73142-2018
Phone: (405) 752-9600
Fax: (405) 752-9605

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 14299 (OK)

Other Obstetrics & Gynecology providers in Oklahoma →

Registry record

NPI: 1003816364
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2005
Record last updated: 14 May 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.