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Roger R Fuller JR., DC
Chiropractor in Chandler, Arizona
NPI 1134296163

Roger R Fuller JR. is a Chiropractor based in Chandler, AZ. Roger R Fuller JR. practices in Chandler, AZ and has the professional credentials of DC. The NPI Number for Roger R Fuller JR. is 1134296163 and holds a License No. 3831 (Arizona).

The current practice location address for Roger R Fuller JR. is 128 W Boston, Chandler, AZ and can be reached out via phone at 480-963-4473 and via fax at 480-963-4513.

Location: 128 W Boston, Chandler, AZ, 85225-7874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134296163
Provider Name
Roger R Fuller JR.
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
128 W Boston, Chandler, AZ, 85225-7874
Phone Number
480-963-4473
Fax Number
480-963-4513
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AZ0944910 01 AZ BCBSAZ
P00112110 01 UN HEALTHCARE RAILROAD RE
institution
Provider Business Practice Location Address Details
Address
128 W Boston
City
Chandler
State
Arizona
Zip
85225-7874
Phone Number
480-963-4473
Fax Number
480-963-4513
person
Provider Business Mailing Address Details
Address
128 W Boston
City
Chandler
State
Arizona
Zip
85225-7874
Phone Number
480-963-4473
Fax Number
480-963-4513
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3831 (Arizona)
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 interrelationship with other body systems.
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