Individual
DAVID SCOTT FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
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
—
2081687000
IBC
PA
Enumeration date
01/03/2007
Last updated
07/08/2007
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