Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD P FULLER, MD
ActiveDR. EDWARD P FULLER, MD is a Anatomic Pathology & Clinical Pathology healthcare provider located in LAKE HAVASU CITY, Arizona. NPI 1457454548 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology & Clinical Pathology · LAKE HAVASU CITY, AZ
Registration Details
- NPI Number
- 1457454548
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 6, 2006 (19.972493796626 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
26880 (AZ)C50618 (CA)
Practice Information
- Address
-
101 CIVIC CENTER LANELAKE HAVASU CITY, AZ, 86403Browse AZ providers · Browse ZIP 86403
- Phone
- 9284533102
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
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.