Bryan Dale Fuller in Conway - Obstetrics & Gynecology
Bryan Dale Fuller - NPI 1487694790
Bryan Dale Fuller is a Obstetrics & Gynecology in Conway, Arkansas. Bryan Dale Fuller practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Bryan Dale Fuller is 1487694790. The last update date is 2022-07-08.
Bryan Dale Fuller's current location address is 625 United Dr Ste 330, Conway, Arkansas. You can contact this provider via phone number 5014998300 and fax number 5013798428. The mailing address for Bryan Dale Fuller is 625 United Dr Ste 330, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Dale Fuller |
|---|---|
| Address | 625 United Dr Ste 330, Conway, Arkansas |
| Phone Number | 5014998300 |
| Fax Number | 5013798428 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487694790 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2022-07-08 |
Provider Mailing Address Detail
| Address | 625 United Dr Ste 330 |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720327828 |
| Phone Number | 5014998300 |
| Fax Number | 5013798428 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | E4442 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5N365 | AR | BLUE/CROSS PROVIDER NO. |
Post Comment/ Review Below
What is the Bryan Dale Fuller's unique identification number?
The Bryan Dale Fuller has been assigned the NPI (National Provider Identifier) Number 1487694790 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Bryan Dale Fuller's physical address?
The Bryan Dale Fuller is physically located at 625 United Dr Ste 330, in the city of Conway, AR, with the postal code 720327828.
What is Bryan Dale Fuller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Bryan Dale Fuller is Obstetrics & Gynecology, and the corresponding taxonomy classification code for this specialized field is 207V00000X.
When did the Bryan Dale Fuller receive its 1487694790?
The Bryan Dale Fuller was issued its 1487694790 on 2006-06-07, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Bryan Dale Fuller last refreshed?
The information related to the Bryan Dale Fuller, including its address, specialty, and other relevant details, was last updated on 2022-07-08.
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