Individual
DR. DANIEL G FULLER
Active
Individual
DR. DANIEL G FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35041455F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127387
ANTHEM
OH
05
—
0360247
—
OH
01
—
1764868001
CIGNA
OH
01
—
341106740031
CARESOURCE
OH
01
—
4044677
AETNA
OH
01
—
50453
QUAL CHOICE
OH
01
—
56958
UNITED HEALTHCARE
OH
01
—
OC02324
NATIONWIDE HEALTH PLANS
OH
01
—
R41455
SUMMA CARE
OH
Enumeration date
06/30/2005
Last updated
03/18/2009
Update your record
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