EDWARD P FULLER

LAKE HAVASU CITY, AZ
NPI1457454548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: AZ  26880)
Additional Taxonomies207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA  C50618)
Enumeration Date2006-09-06
Last Update Date2007-07-08
Business Address
Dr. EDWARD P FULLER MD
101 CIVIC CENTER LANE
LAKE HAVASU CITY, AZ 86403
Phone number: 928-453-3102
Mailing Address
Dr. EDWARD P FULLER MD
PO BOX 1189
LAKE HAVASU CITY, AZ 86405-1189
Phone number: 928-854-5370
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