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Deronte Fullerton

NPI 1497528236 · on the registry since 2023 · sole proprietor

Practice

Address
2785 Som Center Rd
Willoughby Hills, OH 44094
Phone
(216) 278-0288
Organisation at this address
Bluesprig
Eastside Mri Limited Partnership
Inferred from a shared address, not stated in the registry.
Clinicians at this address
114

Additional practice sites

  • 17325 Euclid Ave Ste 4012, Cleveland, OH

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
106S00000X
Sex
Male
Record last updated
2025-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio