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Dr. Daniel Richards Fullmer, MD
Diagnostic Radiology Physician in Lynnwood, Washington
NPI 1114994738

Daniel Richards Fullmer is a Diagnostic Radiology Physician based in Lynnwood, WA and is specialized in Diagnostic Radiology. Daniel Richards Fullmer practices in Lynnwood, WA and has the professional credentials of MD. The NPI Number for Daniel Richards Fullmer is 1114994738 and holds a License No. M-12249 (Washington).

The current practice location address for Daniel Richards Fullmer is 19020 33Rd Ave W Ste 210, Lynnwood, WA and can be reached out via phone at 425-563-1500 and via fax at 425-563-1501.

Location: 19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
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Provider Profile Details
NPI Number
1114994738
Provider Name
Daniel Richards Fullmer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
19020 33Rd Ave W Ste 210, Lynnwood, WA, 98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
Provider Enumeration Date
03/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0285030 01 WA L&I-RADIA REST OF WA
0377766 01 WA L&I-SWEDISH RADIA EDMONDS
1114994738 05 ID
4102721 01 BCBS
0377759 01 WA L&I-RADIA KING COUNTY
1054630 05 WA
4019715 01 BCBS
institution
Provider Business Practice Location Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider Business Mailing Address Details
Address
19020 33Rd Ave W Ste 210
City
State
Zip
98036-4748
Phone Number
425-563-1500
Fax Number
425-563-1501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
M-12249 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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