Edward P Fuller Md Pc

LBN: Edward P Fuller Md Pc
Edward P Fuller Md Pc is an health care organization with primary practice located at 101 Civic Center Lane , Lake Havasu City AZ 86403. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as the primary health care specialty. Edward P Fuller Md Pc can be contacted via phone (928) 854-5370, or through Fuller, Edward P via phone (928) 854-5370.

Contact Information

Primary practice address
101 Civic Center Lane Lake Havasu City AZ 86403
Phone: (928) 854-5370
Fax: (928) 854-7942
Website:
Map and Directions
Authorized official contact:
Name: Fuller, Edward P Doctor of Medicine (MD)
Phone: (928) 854-5370

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 26880 Arizona
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X C50618 California

Profile Details

NPI number 1588832208
LBN Legal business name Edward P Fuller Md Pc
DBA Doing business as
Authorized official Fuller, Edward P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2008
Last updated Feb 15th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588832208 NPPES
Arizona MEDICAID 523242

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