person
Dr. Samuel Edward Fuller, MD
Diagnostic Radiology Physician in Greeley, Colorado
NPI 1093730749

Samuel Edward Fuller is a Diagnostic Radiology Physician based in Englewood, CO and is specialized in Diagnostic Radiology. Samuel Edward Fuller practices in Greeley, CO and has the professional credentials of MD. The NPI Number for Samuel Edward Fuller is 1093730749 and holds a License No. A72891 (Colorado).

The current practice location address for Samuel Edward Fuller is 1801 16Th St, Greeley, CO and can be reached out via phone at 303-761-9190 and via fax at 720-874-4462.

Location: 1801 16Th St, Greeley, CO, 80112-3895
person
Provider Profile Details
NPI Number
1093730749
Provider Name
Samuel Edward Fuller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1801 16Th St, Greeley, CO, 80112-3895
Phone Number
303-761-9190
Fax Number
720-874-4462
Provider Enumeration Date
07/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KA3249113 01 KS MEDICARE
111257122 01 KS MEDICARE
650671 01 CO MEDICARE
88153746 05 CO
NA1214128 01 NE MEDICARE PTAN
638284YQ33 01 CO MEDICARE
638284YQN9 01 CO MEDICARE
638284YQPG 01 CO MEDICARE
NA1215129 01 NE MEDICARE PTAN
638284AE6Y 01 CO MEDICARE
NA2517106 01 NE MEDICARE PTAN
638284ZLJ3 01 CO MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1801 16Th St
City
State
Zip
80631-5154
Phone Number
303-761-9190
Fax Number
720-874-4462
person
Provider Business Mailing Address Details
Address
1801 16Th St
City
State
Zip
80631-5154
Phone Number
303-761-9190
Fax Number
720-874-4462
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
A72891 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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