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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT
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FULLER, DOUGLAS CONRAD
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| Practice Address: |
4311 CARSWELL AVE BLDG 340
NELLIS AFB NV 89191
Address last updated on 6/4/2024 |
| Phone #: |
(801) 643-0307 |
| Fax #: |
|
| County: |
NOT OKLAHOMA |
| License: |
15381 |
| Dated: |
8/19/1985 |
| Expires: |
8/1/2024 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine
Occupational Medicine
Aerospace Medicine |
|
| Status: |
Inactive |
| Status Class: |
Physician Emeritus |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ut Sch Of Med, Salt Lake Cty Ut 84132 |
| Graduated: |
6 /
1982 |
| CME Year: |
2024 |
|
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Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
AMERICAN BOARD OF FAMILY MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE (Occupational Medicine) |
| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
None listed |
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