Michael Fuller

NPI #1881218303 in West Plains, Missouri

Provider Information

NPI Number: 1881218303
Entity Type: Individual
Name: Michael Fuller
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Health Educator
Enumeration Date: Jun 1, 2020
Last Updated: Jun 1, 2020

Practice Location

Address: 3411 DIVISION DR
City: West Plains
State: Missouri
ZIP Code: 65775-5789
Phone: (417) 257-9152

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Health Educator	174H00000X	Primary

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