Whalio Doctors

NPI 1639418494

Stephanie M Fuller, PHD

Practitioner Specialist Yankton, SD

Practice location

Address
3515 Broadway Ave., Yankton, SD 57078-7600
Phone
(605) 668-3100
Fax
(605) 668-3460
Mailing address
PO Box 7600 3515 Broadway Ave., Yankton, SD 57078-7600

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 427 (SD)

Registry record

NPI
1639418494
Entity type
Individual
Sex (as registered)
Female
NPI issued
13 Feb 2013
Record last updated
13 Feb 2013

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.