NPI 1669649117

Jared Russel Fuller, DO

Practitioner Anesthesiology Physician Apo, AA

Practice location

Address: 4700 North Las Vegas Blvd, Apo, AA 89191
Phone: (702) 653-3553
Mailing address: 7435 Dumbarton Oaks St, Las Vegas, NV 89166-5227

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence DO1717 (NV)

Other Anesthesiology providers in Armed Forces Americas →

Registry record

NPI: 1669649117
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2008
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.