CHARLES BERRY FULLENWIDER

MUSKOGEE, OK
NPI1447245063
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207T00000X Neurological Surgery
(Licence: OK  12300)
Enumeration Date2005-09-20
Last Update Date2023-05-01
Business Address
Dr. CHARLES BERRY FULLENWIDER M.D.
4318 W OKMULGEE ST
MUSKOGEE, OK 74401-4648
Phone number: 918-683-1238
Mailing Address
Dr. CHARLES BERRY FULLENWIDER M.D.
6600 S YALE AVE STE 1400
TULSA, OK 74136-3331
Phone number:
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