Individual provider · Type 1 NPI

Brian C. Fuller, DO

Cardiovascular Disease Physician · Flagstaff, AZ

NPI number 1174608772 Active

Practice location

2000 S Thompson St
Flagstaff, AZ 86001-8759

Call (928) 226-6400 Map

Fax (928) 226-6411

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X3196 (AZ)
Cardiovascular Disease Physician Primary 207RC0000X3196 (AZ)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1174608772

Brian C. Fuller, DO's National Provider Identifier is 1174608772, issued on Oct 25, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 30, 2009.