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DR. DAVID JOSEPH FULBROOK DO

>> General Practice >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912390873

Individual Registrant:
DR. DAVID JOSEPH FULBROOK DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
53300 TOPEKA ST. SUITE 236 MCCONNELL AFB, KS 67221 US
Tel: 316-759-4672  Fax: --

Contact information for business:
53300 TOPEKA STREET SUITE 236 MCCONNELL AFB, KS 67221 US
Tel: --  Fax: --

Registration Information:
NPI: 1912390873
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208D00000XAllopathic & Osteopathic Physicians
General Practice
VA0102204570
N390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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