Edward P Fuller MD PC
Edward P Fuller MD PC is an Anatomic Pathology & Clinical Pathology Physician in Lake Havasu City, Arizona. Licensed in Arizona and California. Registered with an NPI since 2008.
- Licensed in
- AZ, CA
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
101 Civic Center LnLake Havasu City, AZ 86403
Phone: (928) 854-5370
Fax: (928) 854-7942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anatomic Pathology & Clinical Pathology Physician (primary) | Taxonomy 207ZP0102X · Licence 26880 (AZ) |
|---|---|
| Anatomic Pathology & Clinical Pathology Physician | Taxonomy 207ZP0102X · Licence C50618 (CA) |
Record details
| NPI number | 1588832208 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Edward Fuller — President · (928) 854-5370 |
| NPI enumerated | February 15, 2008 |
| Last updated in NPPES | February 15, 2008 |
| Mailing address | Po Box 1189, Lake Havasu City, AZ 86405 |
Other providers in Lake Havasu City
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Dr. Edward P Fuller, MD
101 Civic Center Ln, Lake Havasu City, AZ 86403 · (928) 453-3102