Organization
FULLER FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FULLER DC (CHIROPRACTOR)
(215) 393-1117
Entity
Organization
Contact information
Practice address
1218 WELSH RD, SUITE C, NORTH WALES, PA 19454-2055
(215) 393-1117
(215) 393-4464
Mailing address
1218 WELSH RD, SUITE C, NORTH WALES, PA 19454-2055
(215) 393-1117
(215) 393-4464
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008807
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2797170000
IBC GROUP
PA
Enumeration date
07/16/2007
Last updated
07/16/2007
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