| Fulton Family Health Associates, P.c. | |
|
2613 Fairway Dr Suite C Fulton MO 65251-3936 | |
| (573) 642-1990 | |
| (573) 642-1866 |
| Full Name | Fulton Family Health Associates, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2613 Fairway Dr, Fulton, Missouri |
| Authorized Official Name and Position | Jaime Motes (OFFICE MANAGER) |
| Authorized Official Contact | 5736421990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulton Family Health Associates, P.c. 2613 Fairway Dr Suite C Fulton MO 65251-3936 Ph: (573) 642-1990 | Fulton Family Health Associates, P.c. 2613 Fairway Dr Suite C Fulton MO 65251-3936 Ph: (573) 642-1990 |
| NPI Number | 1225068455 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 12/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225068455 | NPI | - | NPPES |
| 504746603 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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