Nathanael Keith Fuller, PA

NPI #1144583451 in Manning, Iowa

Provider Information

NPI Number
1144583451
Entity Type
Individual
Name
Nathanael Keith Fuller, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA
Enumeration Date
Jun 21, 2012
Last Updated
Jun 13, 2014

Practice Location

Address
1550 6TH STREET
State
Iowa
ZIP Code
51455-1004
Phone
(712) 655-2072

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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