| NPI | 1801121728 |
|---|---|
| Former Legal Business Name | JOHN HAMPTON FULLERTON, MD |
| Entity Type | Organization |
| Authorized Contact | KATE MCELROY FULLERTON Physician Assistant 415-706-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CA PA16412) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |