Individual
RAYMOND D. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 E WILLIAM ST, DELAWARE, OH 43015-2149
(740) 615-0450
(740) 615-0462
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35061615
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165182
—
OH
Enumeration date
10/20/2006
Last updated
04/12/2016
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