Individual
CHRISTOPHER LEIGH FULLMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(653) 572-3200
Mailing address
3826 W MICHELLE DR, GLENDALE, AZ 85308-2719
(385) 297-1770
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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