Individual
DR. CHRISTINE E FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 1035, CINCINNATI, OH 45229-3026
(513) 636-4261
(513) 636-3924
Mailing address
3333 BURNET AVE, ML 1035, CINCINNATI, OH 45229-3026
(513) 636-4261
(513) 636-3924
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
36654
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35.127255
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3496626
—
TN
Enumeration date
05/23/2005
Last updated
10/08/2015
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