NPI 1003827601

Jeffery Fuller, MD

Practitioner Emergency Medicine Physician Monroe, LA

Practice location

Address: 4864 Jackson St Department of Emergency Medical Services, Monroe, LA 71202-6400
Phone: (318) 675-7737
Fax: (318) 675-5666
Mailing address: 1501 Kings Hwy Managed Care, Shreveport, LA 71103

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 018474 (LA)

Other Emergency Medicine providers in Louisiana →

Registry record

NPI: 1003827601
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.