Individual
REDGY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
984150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4150
(402) 559-4081
(402) 559-7372
Mailing address
984150 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-4150
(402) 559-4081
(402) 559-7372
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
8055
NE
Other
Enumeration date
07/02/2015
Last updated
07/21/2022
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