FULMER AND JOHNSON FOOT & ANKLE P.A. NPI 1205869229

NPI Information

FULMER AND JOHNSON FOOT & ANKLE , P.A. is a foot and ankle surgery podiatrist in Fayetteville, AR. FULMER AND JOHNSON FOOT & ANKLE , P.A. NPI is 1205869229. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2828 E MILLENNIUM PL
FAYETTEVILLE, AR
ZIP 72703-514
Phone: (479) 582-1199
Fax: (479) 582-1194

The provider's authorized official is Gail R. Johnson .
The authorized official title is Physician/secretary And Treasurer and has the following contact phone number (479) 582-1199.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 2/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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