Individual
JOSEPH FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(636) 625-5300
Mailing address
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(636) 236-5559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2022046205
MO
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
01/14/2025
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