DR. Jonathan Ellis Fuller, M.D.

NPI #1053314443 in Omaha, Nebraska

Provider Information

NPI Number
1053314443
Entity Type
Individual
Name
DR. Jonathan Ellis Fuller, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Credential
M.D.
Enumeration Date
May 31, 2005
Last Updated
Jan 28, 2009

Practice Location

Address
13616 CALIFORNIA ST
Address 2
STE 100
City
Omaha
ZIP Code
68154-5335
Phone
(402) 496-0404

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Orthopaedic Surgery of the SpineOrthopaedic Surgery of the Spine

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