institution
Dixie A. Fullerton
Prosthetic/Orthotic Supplier in Las Vegas, Nevada
NPI 1609923242

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 1609923242 and holds a License No. (Nevada).

The current practice location address for Dixie A. Fullerton is 1621 Fremont St, Las Vegas, NV and can be reached out via phone at 702-382-8287 and via fax at 702-388-0727. You can also correspond with Dixie A. Fullerton through the mailing address at 1621 FREMONT ST, LAS VEGAS, NV - 89101-5413 (mailing address contact number: 702-382-8287).

Location: 1621 Fremont St, Las Vegas, NV, 89101-5413
institution
Provider Profile Details
NPI Number
1609923242
Provider Name
Dixie A. Fullerton
Credential
Provider Entity Type
Organization
Address
1621 Fremont St, Las Vegas, NV, 89101-5413
Phone Number
702-382-8287
Fax Number
702-388-0727
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
003302875 05 NV
institution
Provider Business Practice Location Address Details
Address
1621 Fremont St
City
State
Zip
89101-5413
Phone Number
702-382-8287
Fax Number
702-388-0727
person
Provider Business Mailing Address Details
Address
1621 Fremont St
City
State
Zip
89101-5413
Phone Number
702-382-8287
Fax Number
702-388-0727
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
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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