Fuller, Douglas Conrad

Fuller, Douglas Conrad is an sole proprietor health care provider with primary practice located at 4311 Carswell Ave Bldg 340 , Nellis Afb NV 89191-7069. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Fuller, Douglas Conrad can be contacted via phone (702) 653-3431.

Contact Information

Primary practice address
4311 Carswell Ave Bldg 340 Nellis Afb NV 89191-7069
Phone: (702) 653-3431
Fax: (702) 653-3591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X 18972 Nevada
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 358526-1205 Utah
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 18972 Nevada

Profile Details

NPI number 1649268533
LBN Legal business name Fuller, Douglas Conrad
Credentials M.D., MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2005
Last updated Aug 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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