Individual
MISS ANNE ELIZABETH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
7490 SUTHERLAND CIRCLE, BLDG. 7490, FORT CARSON, CO 80913-4055
(719) 524-2209
(719) 524-5405
Mailing address
7490 SUTHERLAND CIRCLE, BLDG. 7490, FORT CARSON, CO 80913-4055
(719) 524-2209
(719) 524-5405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PAL-2779
CO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
01/30/2025
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