Roger R Fuller is a Chiropractor in Chandler, Arizona. Roger R Fuller practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roger R Fuller is 1134296163. The last update date is 2007-07-08.
Roger R Fuller's current location address is 128 W Boston, Chandler, Arizona. You can contact this provider via phone number 4809634473 and fax number 4809634513. The mailing address for Roger R Fuller is 128 W Boston, Chandler, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger R Fuller |
|---|---|
| Address | 128 W Boston, Chandler, Arizona |
| Phone Number | 4809634473 |
| Fax Number | 4809634513 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1134296163 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 128 W Boston |
|---|---|
| City | Chandler |
| State | Arizona (AZ) |
| Post Code | 852257874 |
| Phone Number | 4809634473 |
| Fax Number | 4809634513 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3831 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0944910 | AZ | BCBSAZ | |
| P00112110 | UN HEALTHCARE RAILROAD RE |
Post Comment/ Review Below
What is the Roger R Fuller's 1134296163?
The Roger R Fuller's NPI (National Provider Identifier) Number is 1134296163. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Roger R Fuller?
The Roger R Fuller is situated at 128 W Boston, in the city of Chandler, state of AZ, with the zip code 852257874.
What is Roger R Fuller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Roger R Fuller is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1134296163 to Roger R Fuller?
The Centers for Medicare & Medicaid Services assigned the 1134296163 to Roger R Fuller on 2006-11-28.
As of what date were the details related to Roger R Fuller most recently updated or revised?
The information pertaining to Roger R Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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