Individual
CARSON FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1275 W COLLEGE AVE APT 309, SPOKANE, WA 99201-2052
(509) 385-9863
Mailing address
1275 W COLLEGE AVE APT 309, SPOKANE, WA 99201-2052
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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