JOHN FULK, P.A.
Physician Assistant
Active
Individual
NPI: 1063419679
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 085001126 (IL) |
Frequently Asked Questions
NPI 1063419679 is the National Provider Identifier for JOHN FULK, P.A., a Physician Assistant provider located in Normal, IL. This NPI was enumerated on June 29, 2005.
JOHN FULK, P.A. practices at 1302 FRANKLIN AVE, SUITE 4800, Normal, IL 61761.
Quick Facts
- NPI
- 1063419679
- Type
- Individual
- Enumerated
- Jun 29, 2005
- Last Updated
- Apr 4, 2019
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