TED FAULL MD
Individual Provider (NPI-1)
Active
Family Medicine, Geriatric Medicine
Provider Information
- NPI Number
1770560724- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 900 TRAILWOOD DR, BOARDMAN, OH, 445125007
- Phone
- (330) 726-2575
- Fax
- (330) 921-9319
Specialties & Taxonomies
Family Medicine
License: IL #36082109
Family Medicine, Geriatric Medicine
Primary License: OH #35.091967