Individual
DR. JOSEPH CARDWELL FULLER III
Active
Individual
DR. JOSEPH CARDWELL FULLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-39828
KS
2085R0202X
Diagnostic Radiology Physician
2016-01080
NC
2085R0202X
Diagnostic Radiology Physician
29941
NE
2085R0202X
Diagnostic Radiology Physician
Primary
58155
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111257106
MEDICARE PIN
KS
05
—
1811287816
—
CO
01
—
581760YQ33
MEDICARE PIN
CO
01
—
581760YQN9
MEDICARE PIN
CO
01
—
581760YQPG
MEDICARE PIN
CO
01
—
581760ZLJ3
MEDICARE PIN
CO
01
—
581760ZNTB
MEDICARE PIN
CO
01
—
KA3249097
MEDICARE PIN
KS
01
—
NA1214119
MEDICARE PIN
NE
01
—
NA1215120
MEDICARE PIN
NE
01
—
NA1217018
MEDICARE PIN
NE
Enumeration date
04/11/2011
Last updated
06/27/2025
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