Individual
DR. BRIAN D FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4625 1ST ST, SUITE 100, PLEASANTON, CA 94566-7368
(925) 600-7246
Mailing address
4625 1ST ST, SUITE 100, PLEASANTON, CA 94566-7368
(925) 600-7246
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
20187
CA
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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