Peter Fullmer
NPI #1922853878 in Eielson Afb, Alaska
Provider Information
- NPI Number
- 1922853878
- Entity Type
- Individual
- Name
- Peter Fullmer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 23, 2024
- Last Updated
- Aug 12, 2025
Practice Location
- Address
- 2630 CENTRAL AVE
- City
- Eielson Afb
- State
- Alaska
- ZIP Code
- 99702-2301
- Phone
- (907) 377-1847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Dentist - General Practice — General Practice |
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