Organization · Type 2 NPI

Bruce E. Fuller, M.d, PLLC

Specialist · Newport News, VA

NPI number 1386808376 Active

Practice location

12695 Mcmanus Blvd, Bldg 3, Suite B
Newport News, VA 23602-4435

Fax (757) 872-7727

Mailing address

PO Box 2579
Newport News, VA 23609-0579

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0101045701 (VA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1386808376

Bruce E. Fuller, M.d, PLLC's National Provider Identifier is 1386808376, issued on Jul 18, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Newport News, VA. The record was last updated on Jul 18, 2008.