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Individual

DR. ELZER T. FULLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
969 LAUREL COVE RD, LONDON, KY 40741-9024
(606) 843-2548
(859) 873-0115
Mailing address
969 LAUREL COVE RD, LONDON, KY 40741-9024
(606) 843-2548
(859) 873-0115

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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