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Dr. Charles Berry Fullenwider, MD
Neurological Surgery Physician in Muskogee, Oklahoma
NPI 1447245063

Charles Berry Fullenwider is a Neurological Surgery Physician based in Tulsa, OK. Charles Berry Fullenwider practices in Muskogee, OK and has the professional credentials of MD. The NPI Number for Charles Berry Fullenwider is 1447245063 and holds a License No. 12300 (Oklahoma).

The current practice location address for Charles Berry Fullenwider is 4318 W Okmulgee St, Muskogee, OK and can be reached out via phone at 918-683-1238 and via fax at 918-683-1239. You can also correspond with Charles Berry Fullenwider through the mailing address at 6600 S YALE AVE STE 1400, TULSA, OK - 74136-3331 (mailing address contact number: ).

Location: 4318 W Okmulgee St, Muskogee, OK, 74136-3331
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447245063
Provider Name
Charles Berry Fullenwider
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4318 W Okmulgee St, Muskogee, OK, 74136-3331
Phone Number
918-683-1238
Fax Number
918-683-1239
Provider Enumeration Date
09/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100100060A 05 OK
institution
Provider Business Practice Location Address Details
Address
4318 W Okmulgee St
City
Muskogee
State
Oklahoma
Zip
74401-4648
Phone Number
918-683-1238
Fax Number
918-683-1239
person
Provider Business Mailing Address Details
Address
4318 W Okmulgee St
City
Muskogee
State
Oklahoma
Zip
74401-4648
Phone Number
918-683-1238
Fax Number
918-683-1239
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neurological Surgery
Speciality
-
Taxonomy
207T00000X
License No.
12300 (Oklahoma)
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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