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Individual
STEVEN B FULLER
Active
Individual
STEVEN B FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DO711
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051510407
—
AL
01
—
51510407
BLUECROSS/BLUESHIELD
AL
01
—
737638
CCN
AL
01
—
7993241
AETNA
AL
Enumeration date
08/25/2006
Last updated
12/31/2019
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