person
Nathanael Keith Fuller, PA
Medical Physician Assistant in Manning, Iowa
NPI 1144583451

Nathanael Keith Fuller is a Medical Physician Assistant based in Manning, IA and is specialized in Medical. Nathanael Keith Fuller practices in Manning, IA and has the professional credentials of PA. The NPI Number for Nathanael Keith Fuller is 1144583451 and holds a License No. 002297 (Iowa).

The current practice location address for Nathanael Keith Fuller is 1550 6Th Street, Manning, IA and can be reached out via phone at 712-655-2072 and via fax at 712-655-3228.

Location: 1550 6Th Street, Manning, IA, 51455-1005
person
Provider Profile Details
NPI Number
1144583451
Provider Name
Nathanael Keith Fuller
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
1550 6Th Street, Manning, IA, 51455-1005
Phone Number
712-655-2072
Fax Number
712-655-3228
Provider Enumeration Date
06/21/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1550 6Th Street
City
State
Zip
51455-1004
Phone Number
712-655-2072
Fax Number
712-655-3228
person
Provider Business Mailing Address Details
Address
1550 6Th Street
City
State
Zip
51455-1004
Phone Number
712-655-2072
Fax Number
712-655-3228
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002297 (Iowa)
Definition
Definition to come...
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