Individual provider · Type 1 NPI

Brian William Fullem, DPM

Foot Surgery Podiatrist · Clearwater, FL

NPI number 1922036086 Active

Practice location

1700 N Mcmullen Booth Rd, #C-2
Clearwater, FL 33759-2130

Fax (727) 330-7645

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist 213ES0103X556 (CT)
Foot Surgery Podiatrist Primary 213ES0131XPO3445 (FL)

Foot Surgery Podiatrist: Definition to come...

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About NPI 1922036086

Brian William Fullem, DPM's National Provider Identifier is 1922036086, issued on Jun 29, 2006. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Clearwater, FL. The record was last updated on Sep 23, 2014.