Dixie A. Fullerton - Las Vegas, NV

Dixie A. Fullerton

Prosthetic/Orthotic Supplier in Las Vegas, Nevada

NPI 1336296979

Dixie A. Fullerton is a Prosthetic/Orthotic Supplier based in Las Vegas, NV. Dixie A. Fullerton practices in Las Vegas, NV. The NPI Number for Dixie A. Fullerton is 1336296979 and holds a License No. (Nevada).

The current practice location address for Dixie A. Fullerton is 1618 E Charleston Blvd, Las Vegas, NV and can be reached out via phone at 702-384-5121 and via fax at 702-384-4416.

Location: 1618 E Charleston Blvd, Las Vegas, NV, 89104-1826

NPI Number

1336296979

Provider Name

Dixie A. Fullerton

Credential

Provider Entity Type

Organization

Address

1618 E Charleston Blvd, Las Vegas, NV, 89104-1826

Phone Number

702-384-5121

Fax Number

702-384-4416

Provider Enumeration Date

01/05/2007

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
003302425	05	NV

Address

1618 E Charleston Blvd

City

Las Vegas

State

Nevada

Zip

89104-1826

Phone Number

702-384-5121

Fax Number

702-384-4416

Address

1618 E Charleston Blvd

City

Las Vegas

State

Nevada

Zip

89104-1826

Phone Number

702-384-5121

Fax Number

702-384-4416

Type

Suppliers

Classification

Prosthetic/Orthotic Supplier

Speciality

Taxonomy

335E00000X

License No.

()

Definition

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

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