Most Relevant Information
Provider Data
| NPI Number: | 1003816364 |
| Provider Name: | JOHN ALAN FULLER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207V00000X |
| Specialty: | Obstetrics & Gynecology |
| License Number: | 14299 |
Most Important Dates
| Enumeration Date: | 07/28/2005 |
| Last Updated: | 05/14/2012 |
Provider Practice Location
5101 W MEMORIAL RD
OKLAHOMA CITY
OK
731422018
Practice Location Phone/Fax
| Phone: | 4057529600 |
| Fax: | 4057529605 |
Provider Mailing Location
5101 W MEMORIAL RD
OKLAHOMA CITY
OK
731422018
Provider Mailing Phone/Fax
| Phone: | 4057529600 |
| Fax: | 4057529650 |
Suggested EMR
OBGYN EMR