Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN FULLER, ATC
ActiveBENJAMIN FULLER, ATC is a Athletic Trainer healthcare provider located in AZUSA, California. NPI 1407400799 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · AZUSA, CA
Registration Details
- NPI Number
- 1407400799
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2019 (6.8733723678772 yrs)
- Last Updated
- Jul 25, 2019
Practice Information
- Address
-
701 E FOOTHILL BLVDAZUSA, CA, 917022606Browse CA providers · Browse ZIP 91702
- Phone
- 6268156000
- Fax
- 6268155442
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in AZUSA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. APRIL M REED | MS, ATC, CSCS | 1679592240 |
| DR. CHRISTOPHER RAYMOND SCHMIDT | PHD, ATC | 1174531669 |
| PAMELA JOSEPH | — | 1306349634 |
| CHRISTY HANCOCK | — | 1346745023 |
| MORGAN MOORE | — | 1033603576 |
| SAMUEL DOCTORIAN III | B.S. | 1649766775 |
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.