Individual provider · Type 1 NPI

Andrew Fultz

Hematology & Oncology Physician · Springfield, IL

NPI number 1174225866 Active

Practice location

315 W Carpenter St # B
Springfield, IL 62702-4901

Mailing address

PO Box 19678
Springfield, IL 62794-9678

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X036.180741 (IL)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1174225866

Andrew Fultz's National Provider Identifier is 1174225866, issued on Mar 20, 2023. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Springfield, IL. The record was last updated on Jul 2, 2026.