Individual
DR. ELISA J. FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8035 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 304-9234
(480) 907-2011
Mailing address
8035 N 85TH WAY, SCOTTSDALE, AZ 85258-4321
(480) 304-9234
(480) 907-2011
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
25928
AZ
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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