Organization
GARRY T. FULLER, D.C., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY T FULLER D.C. (OWNER/PRESIDENT)
(317) 852-8885
Entity
Organization
Contact information
Practice address
515 N GREEN ST STE 100, BROWNSBURG, IN 46112-2115
(317) 852-8885
(317) 852-7492
Mailing address
PO BOX 459, BROWNSBURG, IN 46112-0459
(317) 852-8885
(317) 534-3444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001100
IN
Other
Enumeration date
09/09/2008
Last updated
11/15/2013
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