Individual provider · Type 1 NPI

Philip Tod Fuller, PA-C, MMS, BS, EMT-P

Surgical Physician Assistant · Aurora, CO

NPI number 1447403209 Active

Practice location

1411 S Potomac St, Suite 400
Aurora, CO 80012-4536

Fax (303) 369-7776

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X2697 (CO)

Surgical Physician Assistant: Definition to come...

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About NPI 1447403209

Philip Tod Fuller, PA-C, MMS, BS, EMT-P's National Provider Identifier is 1447403209, issued on Oct 24, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Aurora, CO. The record was last updated on Oct 24, 2008.