Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN THOMAS FULLER, IDHS
ActiveJOHN THOMAS FULLER, IDHS is a Independent Duty Corpsman healthcare provider located in DAPHNE, Alabama. NPI 1518620186 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · DAPHNE, AL
Registration Details
- NPI Number
- 1518620186
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 20, 2021 (4.8460957591577 yrs)
- Last Updated
- Oct 20, 2021
Practice Information
- Address
-
12239 CRESSIDA LOOPDAPHNE, AL, 365269001Browse AL providers · Browse ZIP 36526
- Phone
- 2059014498
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
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.