Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS CONRAD FULLER, M.D., MPH
Active Sole ProprietorDR. DOUGLAS CONRAD FULLER, M.D., MPH is a Occupational Medicine healthcare provider located in NELLIS AFB, Nevada. NPI 1649268533 is currently active in the NPPES registry. Verify at CMS.
Occupational Medicine · NELLIS AFB, NV
Registration Details
- NPI Number
- 1649268533
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 13, 2005 (20.794743526849 yrs)
- Last Updated
- Aug 3, 2023
- Licenses
-
18972 (NV)358526-1205 (UT)18972 (NV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4311 CARSWELL AVE BLDG 340NELLIS AFB, NV, 891917069Browse NV providers · Browse ZIP 89191
- Phone
- 7026533431
- Fax
- 7026533591
- Primary Specialty
-
Occupational Medicine
2083X0100X
- Additional Specialty
- Occupational Medicine
- Additional Specialty
- Occupational Medicine
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.