Individual
DR. MATTHEW DAVID FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1226 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-6636
Mailing address
1226 NE 7TH ST, GRANTS PASS, OR 97526-1424
(541) 476-6636
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
DO209577
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
5151010511
MI
Other
Enumeration date
07/02/2018
Last updated
07/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us