Individual provider · Type 1 NPI
Elzer T. Fuller Jr., MD
General Practice Physician · London, KY
NPI number
1013961986
Active
Practice location
969 Laurel Cove Rd
London, KY 40741-9024
Fax (859) 873-0115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 19010 (KY) |
| Emergency Medicine Physician | 207P00000X | ME58598 (FL) |
| Emergency Medicine Physician | 207P00000X | 19010 (KY) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1013961986
Elzer T. Fuller Jr., MD's National Provider Identifier is 1013961986, issued on May 22, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in London, KY. The record was last updated on Jan 13, 2014.