DR. Elzer T. Fuller JR., M.D.

NPI #1013961986 in London, Kentucky

Provider Information

NPI Number: 1013961986
Entity Type: Individual
Name: DR. Elzer T. Fuller JR., M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: May 22, 2006
Last Updated: Jan 13, 2014

Practice Location

Address: 969 LAUREL COVE RD
City: London
State: Kentucky
ZIP Code: 40741-9024
Phone: (606) 843-2548

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Emergency Medicine	207P00000X

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