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Individual
DR. WAYNE TEMPLETON FULLER
Active
Individual
DR. WAYNE TEMPLETON FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
00035725
WA
207Q00000X
Family Medicine Physician
Primary
0101034109
VA
207Q00000X
Family Medicine Physician
19181
SC
207Q00000X
Family Medicine Physician
26099
AZ
207Q00000X
Family Medicine Physician
31285
NC
207Q00000X
Family Medicine Physician
339571-1205
UT
207Q00000X
Family Medicine Physician
37054
CO
207Q00000X
Family Medicine Physician
38697
WI
207Q00000X
Family Medicine Physician
42646
MN
207Q00000X
Family Medicine Physician
6222A
WY
207Q00000X
Family Medicine Physician
99-44
NM
207Q00000X
Family Medicine Physician
D56565
MD
207Q00000X
Family Medicine Physician
G084432
CA
207Q00000X
Family Medicine Physician
M-8300
ID
207Q00000X
Family Medicine Physician
—
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11104815
CAQH PROVIDER ID
—
Enumeration date
08/10/2005
Last updated
07/13/2026
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