# BRIAN FULLER MD PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** BRIAN FULLER, MD, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548557317
- **Legal business name:** BRIAN FULLER, MD, PC
- **Authorized official:** BRIAN FULLER (PHYSICIAN OWNER)
- **Authorized official phone:** (303) 355-3700

## Contact information

- **Practice address:** 2373 CENTRAL PARK BLVD, SUITE 303, DENVER, CO 80238-2300
- **Practice address phone:** (303) 355-3700
- **Mailing address:** 2373 CENTRAL PARK BLVD, SUITE 303, DENVER, CO 80238-2300
- **Mailing address phone:** (303) 355-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/30/2011
- **Last updated:** 12/28/2012