Whalio Doctors

NPI 1588656607

James Clark Fulton, PAC

Practitioner Physician Assistant Dpo, AA

Practice location

Address
Unit 3420 Box 200 Department of State, US Embassy Quito, Ecuador, Dpo, AA 34039-0200
Phone
(202) 448-9095
Mailing address
Unit 3420 Box 233, Dpo, AA 34039-0233

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0110003730 (VA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 004539 (GA)
Surgical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 0110003730 (VA)

Registry record

NPI
1588656607
Entity type
Individual
Sex (as registered)
Male
NPI issued
16 Aug 2005
Record last updated
28 Oct 2013

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.