Individual
DR. BRIAN WILLIAM FULLEM
Active
Individual
DR. BRIAN WILLIAM FULLEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
556
CT
213ES0131X
Foot Surgery Podiatrist
Primary
PO3445
FL
Other
Enumeration date
06/29/2006
Last updated
09/23/2014
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