Individual
DR. JONATHAN DANIEL FULLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-7783
Mailing address
3901 PINE LAKE RD, LINCOLN, NE 68516-5497
(402) 420-3500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6773
NE
2085N0700X
Neuroradiology Physician
54143
AZ
2085R0202X
Diagnostic Radiology Physician
28782
NE
2085R0202X
Diagnostic Radiology Physician
Primary
54143
AZ
Other
Enumeration date
06/13/2012
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us