Individual provider · Type 1 NPI
Samuel Edward Fuller, MD
Diagnostic Radiology Physician · Greeley, CO
NPI number
1093730749
Active
Practice location
1801 16th St
Greeley, CO 80631-5154
Fax (720) 874-4462
Mailing address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Other practice locations
- 10800 E Geddes Ave Ste 300, Englewood, CO 80112-3895 · (303) 761-9190
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A72891 (CA) |
| Diagnostic Radiology Physician | 2085R0202X | 7318A (WY) |
| Diagnostic Radiology Physician | 2085R0202X | 23277 (NE) |
| Diagnostic Radiology Physician | 2085R0202X | 04-41647 (KS) |
| Diagnostic Radiology Physician | 2085R0202X | MD19873 (HI) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 43466 (CO) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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About NPI 1093730749
Samuel Edward Fuller, MD's National Provider Identifier is 1093730749, issued on Jul 13, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Greeley, CO. The record was last updated on Dec 9, 2022.