IndividualActive
Charles Fullenwider, M.D.
NPI 1447245063 · Neurological Surgery Physician · Muskogee, OK
Provider details
- NPI number
- 1447245063
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 12300 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4318 W Okmulgee St
Muskogee, OK 74401-4648
Phone: (918) 683-1238
Fax: (918) 683-1239
Approximate (ZIP-level) locationGet directions
Mailing address
6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Registry dates
- Enumerated
- 2005-09-20
- Last updated
- 2023-05-01
- Certified
- 2023-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.