Individual provider · Type 1 NPI

Daniel Richards Fullmer, MD

Diagnostic Radiology Physician · Lynnwood, WA

NPI number 1114994738 Active

Practice location

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748

Call (425) 563-1500 Map

Fax (425) 563-1501

Other practice locations

  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 · (952) 595-1100

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XM-12249 (ID)
Diagnostic Radiology Physician Primary 2085R0202XMD00049079 (WA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

110 other providers at this address

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About NPI 1114994738

Daniel Richards Fullmer, MD's National Provider Identifier is 1114994738, issued on Mar 2, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Lynnwood, WA. The record was last updated on Mar 10, 2025.