Individual
DAVID FREDERICK FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111
(816) 932-0340
(816) 932-3148
Mailing address
901 E 104TH ST # MS 400S, KANSAS CITY, MO 64131-4517
(816) 502-7000
(816) 932-9670
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
2018023712
MO
Other
Enumeration date
04/13/2015
Last updated
08/13/2018
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