JEFFERY FULLER

MONROE, LA
NPI1003827601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  018474)
Enumeration Date2006-08-10
Last Update Date2007-07-08
Business Address
-- JEFFERY FULLER M.D.
4864 JACKSON ST DEPARTMENT OF EMERGENCY MEDICAL SERVICES
MONROE, LA 71202-6400
Phone number: 318-675-7737
Mailing Address
-- JEFFERY FULLER M.D.
1501 KINGS HWY MANAGED CARE
SHREVEPORT, LA 71103
Phone number: 318-675-7737
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