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Individual
DR. ELZER T. FULLER JR.
Active
Individual
DR. ELZER T. FULLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19010
KY
207P00000X
Emergency Medicine Physician
ME58598
FL
208D00000X
General Practice Physician
Primary
19010
KY
Other
Enumeration date
05/22/2006
Last updated
01/13/2014
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