Whalio Doctors

NPI 1649268533

Douglas Conrad Fuller, MDMPH

Practitioner Occupational Medicine Physician Nellis Afb, NV

Practice location

Address
4311 Carswell Ave Bldg 340, Nellis Afb, NV 89191-7069
Phone
(702) 653-3431
Fax
(702) 653-3591
Mailing address
4811 Carswell Dr. Bldg 340, Nellis Afb, NV 89191

Registered specialties (3)

Occupational Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 18972 (NV)
Aerospace Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083A0100X Licence 18972 (NV)
Occupational Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 2083X0100X Licence 358526-1205 (UT)

Registry record

NPI
1649268533
Entity type
Individual
Sex (as registered)
Male
NPI issued
13 Oct 2005
Record last updated
3 Aug 2023

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.