JONATHAN ELLIS FULLER

OMAHA, NE
NPI1053314443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine
(Licence: NE  20813)
Enumeration Date2005-05-31
Last Update Date2009-01-28
Business Address
Dr. JONATHAN ELLIS FULLER M.D.
13616 CALIFORNIA ST STE 100
OMAHA, NE 68154-5335
Phone number: 402-496-0404
Mailing Address
Dr. JONATHAN ELLIS FULLER M.D.
13616 CALIFORNIA ST STE 100
OMAHA, NE 68154-5335
Phone number: 402-496-0404
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