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1609814441
MATTHEW BERNARD FULTON
ROANOKE, VA
NPI
1609814441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0102201846)
Enumeration Date
2006-06-03
Last Update Date
2019-02-06
Business Address
Dr. MATTHEW BERNARD FULTON DO
5115 BERNARD DR STE 201
ROANOKE, VA 24018-4367
Phone number: 540-345-0289
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Mailing Address
Dr. MATTHEW BERNARD FULTON DO
PO BOX 13306
ROANOKE, VA 24032-3306
Phone number: 540-345-0289
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