NPI 1396034658

Stanley R Fuller, MD

Practitioner Ophthalmology Physician Fairbanks, AK

Practice location

Address: 116 Minnie St, Fairbanks, AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 328-1867

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 100664 (AK)

Other Ophthalmology providers in Alaska →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1396034658
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2011
Record last updated: 29 Nov 2016

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.