MR. BRANDON FULTZ, PA-C
Physician Assistant
Active
Individual
NPI: 1902031131
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | No | 10001066A (IN) |
| Physician Assistant | 363A00000X | Yes | 10001066A (IN) |
Frequently Asked Questions
NPI 1902031131 is the National Provider Identifier for MR. BRANDON FULTZ, PA-C, a Physician Assistant provider located in Greenwood, IN. This NPI was enumerated on May 18, 2009.
MR. BRANDON FULTZ, PA-C practices at 747 E COUNTY LINE RD STE H, Greenwood, IN 46143.
Quick Facts
- NPI
- 1902031131
- Type
- Individual
- Enumerated
- May 18, 2009
- Last Updated
- Jul 20, 2023
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