Search › Alaska › 1223G0001X
Peter Fullmer
NPI 1922853878 · on the registry since 2024
Practice
- Address
- 2630 Central Ave
Eielson Afb, AK 99702 - Phone
- (907) 377-1847
- Organisation at this address
- 354th Medgrp-Eielson
354th Medgrp-EielsonInferred from a shared address, not stated in the registry. - Clinicians at this address
- 49
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-08-12
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 Alaska