Dr. MATTHEW DAVID FULLMER DO
Individual Provider (NPI-1)
Active
Student in an Organized Health Care Education/Training Program
Provider Information
- NPI Number
1841786829- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 1226 NE 7TH ST, GRANTS PASS, OR, 975261424
- Phone
- (541) 476-6636
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Primary License: MI #5151010511
Ophthalmology
License: OR #DO209577