DR. EASTON MITCHELL SCOTT FULLER DO NPI 1245973957

NPI Information

  • NPI: 1245973957
  • Provider Name: DR. EASTON MITCHELL SCOTT FULLER, DO
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 1000 N LEE AVE STE 1980
    OKLAHOMA CITY, OK
    ZIP 73102
  • Phone: (405) 272-8437

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NPI Details

DR. Easton Mitchell Scott Fuller, DO is a student in an organized health care education training program in Oklahoma City, OK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Easton Mitchell Scott Fuller, DO NPI is 1245973957. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1000 N LEE AVE STE 1980
OKLAHOMA CITY, OK
ZIP 73102-080
Phone: (405) 272-8437
Fax: (405) 231-3007

The enumeration date for this NPI number is 4/19/2022 and was last updated on 4/27/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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