DR. Stephanie Rose Fuller, D.O.

NPI #1013234244 in Dallas, Texas

Provider Information

NPI Number: 1013234244
Entity Type: Individual
Name: DR. Stephanie Rose Fuller, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: D.O.
Enumeration Date: Apr 28, 2010
Last Updated: Jun 10, 2013

Practice Location

Address: 5201 HARRY HINES BLVD
Address 2: GRADUATE MEDICAL EDUCATION
City: Dallas
State: Texas
ZIP Code: 75235-7708
Phone: (214) 590-8058

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Emergency Medicine	207P00000X	Primary

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