Roger R Fuller JR. DC

NPI 1134296163 - Chiropractor - 111N00000X

NPI Details
NPI 1134296163
Gender Male
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
128 W BOSTON
CHANDLER AZ, 85225-7874, US
Phone (480) 963-4473
Fax (480) 963-4513
Business Location
128 W BOSTON
CHANDLER AZ, 85225-7874, US
Phone (480) 963-4473
Fax (480) 963-4513
Toxanomy
Taxonomy Code 111N00000X
License State Arizona
License Number 3831
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According to our database, Roger R Fuller JR. DC NPI is 1134296163, taxonomy code is 111N00000X and license number is 3831, license state is located at Arizona. Roger R Fuller JR. DC physically located at 128 W Boston, Chandler AZ, 85225-7874. NPI Number Roger R Fuller JR. DC has the Individual type.

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1134296163 NPI number is provided on an as is basis without warranty of any kind. 1134296163 is maintained by the National Plan & Provider Enumeration System. The contents of Roger R Fuller JR. DC are for informational purposes only.