Individual provider · Type 1 NPI

John Fuller, MD

Emergency Medicine Physician · Troy, MO

NPI number 1093754574 Active

Practice location

1000 E Cherry St
Troy, MO 63379-1513

Mailing address

10010 Kennerly Rd
St. Louis, MO 63128-2106

Other practice locations

  • 915 N Grand Blvd, St. Louis, MO 63106-1621 · (314) 652-4100

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X112096 (MO)
Family Medicine Physician 207Q00000X112096 (MO)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

40 other providers at this address

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About NPI 1093754574

John Fuller, MD's National Provider Identifier is 1093754574, issued on Jun 6, 2006. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Troy, MO. The record was last updated on Apr 21, 2026.