BRIAN G. FULLER M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1396834412- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 1775 THOMPSON RD, COOS BAY, OR, 974202125
- Phone
- (541) 269-8520
- Fax
- (541) 267-5083
Specialties & Taxonomies
Unknown
License: CO #49432
Unknown
Primary License: OR #MD186291
Unknown
License: NM #MD2023-0362