Individual provider · Type 1 NPI
Matthew David Fullmer, DO
Student in an Organized Health Care Education/Training Program · Grants Pass, OR
NPI number
1841786829
Active
Practice location
1226 NE 7th St
Grants Pass, OR 97526-1424
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 5151010511 (MI) |
| Ophthalmology Physician | 207W00000X | DO209577 (OR) |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8 other providers at this address
- Cascade Eyecare Center PCOphthalmology Physician Grants Pass, OR NPI 1295758696
- Douglas R. Merritt, MDOphthalmology Physician Grants Pass, OR NPI 1093718322
- James Lowell Davidian, MDOphthalmology Physician Grants Pass, OR NPI 1912071036
- Maisha Langella, ODOptometrist Grants Pass, OR NPI 1104116532
- Mark Maffett, MDOphthalmology Physician Grants Pass, OR NPI 1760489991
- Matthew Guymon, DOOphthalmology Physician Grants Pass, OR NPI 1205120730
- Rodney Derrick Leavitt, MDOphthalmology Physician Grants Pass, OR NPI 1982630695
- Russell Leavitt, MDOphthalmology Physician Grants Pass, OR NPI 1376546614
Other student in an organized health care education/training program providers in Grants Pass
- Tabitha FishStudent in an Organized Health Care Education/Training Program Grants Pass, OR NPI 1164956298
- Zachary Goodwiler, DPTStudent in an Organized Health Care Education/Training Program Grants Pass, OR NPI 1699159103
- Sandra D. KleinStudent in an Organized Health Care Education/Training Program Grants Pass, OR NPI 1932771771
About NPI 1841786829
Matthew David Fullmer, DO's National Provider Identifier is 1841786829, issued on Jul 2, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 8, 2022.