Daniel Gunn Fuller in Memphis - Pediatrics
Daniel Gunn Fuller - NPI 1023087632
Daniel Gunn Fuller is a Pediatrics in Memphis, Tennessee. Daniel Gunn Fuller practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Daniel Gunn Fuller is 1023087632. The last update date is 2010-07-12.
Daniel Gunn Fuller's current location address is 1225 Madison Ave, Memphis, Tennessee. You can contact this provider via phone number 9017223319 and fax number 9017223394. The mailing address for Daniel Gunn Fuller is 1225 Madison Ave, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Gunn Fuller |
|---|---|
| Address | 1225 Madison Ave, Memphis, Tennessee |
| Phone Number | 9017223319 |
| Fax Number | 9017223394 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1023087632 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 1225 Madison Ave |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381042211 |
| Phone Number | 9017223319 |
| Fax Number | 9017223394 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | T1170 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1916913 | TN | BC BS OF TN |
Post Comment/ Review Below
What is the unique identifier code issued to Daniel Gunn Fuller by the Centers for Medicare & Medicaid Services?
The Daniel Gunn Fuller has been assigned the NPI (National Provider Identifier) 1023087632. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Daniel Gunn Fuller is located?
The Daniel Gunn Fuller is situated at the following address: 1225 Madison Ave, Memphis, TN, 381042211.
What is Daniel Gunn Fuller's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daniel Gunn Fuller's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 152Wp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023087632 to Daniel Gunn Fuller?
The Centers for Medicare & Medicaid Services originally issued the 1023087632 to Daniel Gunn Fuller on 2006-03-16.
As of what date were the Daniel Gunn Fuller's details last updated?
The information pertaining to the Daniel Gunn Fuller, including its address, specialty, and other details, was most recently updated on 2010-07-12.
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