Most Relevant Information
Provider Data
| NPI Number: | 1003814484 |
| Provider Name: | JOHN T FULP D.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 566 |
Most Important Dates
| Enumeration Date: | 07/11/2005 |
| Last Updated: | 09/27/2007 |
Provider Practice Location
2840 19TH AVE S
GRAND FORKS
ND
582015957
Practice Location Phone/Fax
| Phone: | 7017722670 |
| Fax: | 7017722706 |
Provider Mailing Location
2840 19TH AVE S
GRAND FORKS
ND
582015957
Provider Mailing Phone/Fax
| Phone: | 7017722670 |
| Fax: | 7017722706 |