Bertram Fuller, PAC

NPI #1073793691 in Downey, California

Provider Information

NPI Number
1073793691
Entity Type
Individual
Name
Bertram Fuller, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PAC
Enumeration Date
Nov 12, 2007
Last Updated
Nov 12, 2007

Practice Location

Address
7033 STEWART AND GRAY RD UNIT 38
City
Downey
ZIP Code
90241-4355
Phone
(562) 927-0677

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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