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Individual
DR. ERIC ARTHUR FULLER
Active
Individual
DR. ERIC ARTHUR FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3543
CA
213ES0000X
Sports Medicine Podiatrist
E3543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBB80382B
EDI SUBMITTER NUMBER
CA
Enumeration date
09/02/2005
Last updated
12/17/2009
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