Individual
DR. SCOTT C FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2521 STOCKTON BLVD, STE 7200, SACRAMENTO, CA 95817-2207
(916) 734-2801
Mailing address
2521 STOCKTON BLVD, STE 7200, SACRAMENTO, CA 95817-2207
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A94603
CA
Other
Enumeration date
12/02/2005
Last updated
06/04/2020
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