Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRIAN C FULLER, D.O.
ActiveDR. BRIAN C FULLER, D.O. is a Cardiovascular Disease healthcare provider located in FLAGSTAFF, Arizona. NPI 1174608772 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · FLAGSTAFF, AZ
Registration Details
- NPI Number
- 1174608772
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2006 (19.801164211821 yrs)
- Last Updated
- Mar 30, 2009
- Licenses
-
3196 (AZ)3196 (AZ)
Practice Information
- Address
-
2000 S THOMPSON STFLAGSTAFF, AZ, 860018759Browse AZ providers · Browse ZIP 86001
- Phone
- 9282266400
- Fax
- 9282266411
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Other Cardiovascular Disease Providers in FLAGSTAFF, AZ
| Name | Credential | NPI |
|---|---|---|
| ANTHONY E SANDOVAL | MD | 1811994429 |
| DR. LAWRENCE W GAUL | M.D. | 1205823945 |
| DR. ROBERT A MACKIN | M.D. | 1447334784 |
| DR. DAVID M LEDER | MD | 1639242720 |
| CRAIG MICHAEL PETERS | DO | 1023167384 |
| OMAR RASHID WANI | MD | 1326265893 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.