Search › Arizona › 207ZP0102X
Edward Fuller, MD
NPI 1457454548 · on the registry since 2006
Practice
- Address
- 101 Civic Center Lane
Lake Havasu City, AZ 86403 - Phone
- (928) 453-3102
- Organisation at this address
- Edward P Fuller Md Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207ZP0102X
207ZP0102X
- Also registered as
- 207ZP0102X
- Licence states on file
- AZ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Arizona