David G Fuller MD a Professional Corporation
NPI #1083371934 in Oakdale, California
Provider Information
- NPI Number
- 1083371934
- Entity Type
- Organization
- Organization Name
- David G Fuller MD a Professional Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 25, 2021
- Last Updated
- Nov 25, 2021
Practice Location
- Address
- 10468 SAINT ANDREWS CT
- City
- Oakdale
- State
- California
- ZIP Code
- 95361-7602
- Phone
- (209) 630-1531
Authorized Official
- Name
- DR. DAVID GLENN FULLER, MD
- Title
- CEO
- Phone
- (209) 605-4497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
| Family Medicine |
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