Stephanie Rose Fuller D.O.

NPI 1013234244 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1013234244
Gender Female
Enumeration Date 04/28/2010
Last Updated 06/10/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
5201 HARRY HINES BLVD
GRADUATE MEDICAL EDUCATION
DALLAS TX, 75235-7708, US
Phone (214) 590-8058
Fax
Business Location
6451 BRENTWOOD STAIR RD STE 200
FORT WORTH TX, 76112-3200, US
Phone (817) 496-9700
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Stephanie Rose Fuller D.O. NPI is 1013234244, taxonomy code is 390200000X Stephanie Rose Fuller D.O. physically located at 5201 Harry Hines Blvd, Dallas TX, 75235-7708. NPI Number Stephanie Rose Fuller D.O. has the Individual type.

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1013234244 NPI number is provided on an as is basis without warranty of any kind. 1013234244 is maintained by the National Plan & Provider Enumeration System. The contents of Stephanie Rose Fuller D.O. are for informational purposes only.