Organization
EDWARD P FULLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD P FULLER MD (PRESIDENT)
(928) 854-5370
Entity
Organization
Contact information
Practice address
101 CIVIC CENTER LANE, LAKE HAVASU CITY, AZ 86403
(928) 854-5370
(928) 854-7942
Mailing address
PO BOX 1189, LAKE HAVASU CITY, AZ 86405
(928) 854-5370
(928) 854-7942
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
26880
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
C50618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
523242
—
AZ
Enumeration date
02/15/2008
Last updated
02/15/2008
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