David G Fuller


Address: 2209 Coffee Rd, Suite I, Modesto, CA 95355-2360
Phone: 2095266400

David G Fuller (NPI# 1033149448, PAC ID# 8527099878) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1033149448
PAC ID by PECOS 8527099878
Professional Enrollment ID I20050825000935
Full Name David G Fuller
Address 2209 Coffee Rd
Suite I
Modesto
CA 95355-2360
Phone Number 2095266400
Gender M
Credential MD
Medical School LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1989
Primary Specialty FAMILY PRACTICE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050464 DOCTORS MEDICAL CENTER

Other Locations

Address Phone Organization
2209 Coffee Rd, Suite I, Modesto, CA 95355-2360 2095266400

Organization Information

Office Location

Street Address 2209 COFFEE RD
SUITE I
City MODESTO
State CA
Zip 95355-2360

Physicians in the same location

Name Specialty Organization Address
Binh T Dang Family Medicine 2209 Coffee Rd, Suite I, Modesto, CA 95355-2360

Physicians in the same zip code

Name Specialty Organization Address
Naihsien D Chen Internal Medicine 1303 Mable Ave, Modesto, CA 95355-1119
Greg A Vigna Physical Medicine and Rehabilitation Greg Vigna Md Clcp 1303 Mable Ave, Modesto, CA 95355-1119
David D Nisley Physician Assistant Greg Vigna Md Clcp 1303 Mable Ave, Modesto, CA 95355-1119
Patrick N Rhoades Physical Medicine and Rehabilitation 1300 Mable Ave, Suite 2, Modesto, CA 95355-1120
Sandhya Ravichandran Anesthesiology Medical Anesthesia Consultants Medical Group Inc 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120
L Edward Elliott Optometry L Edward Elliott Et Al Ptr Elliott L Edward Gen Ptr 3601 Coffee Rd, Modesto, CA 95355-1161
Mutahir U Khan Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Rajesh Kumar Dubey Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Kent Hon-wah Wong Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Joydev Acharya Cardiovascular Disease (cardiology) Stanislaus Cardiology Group 3621 Forest Glenn Dr, Modesto, CA 95355-1339
Find all physicians in zip 95355

Competitor

Search similar physicians

City MODESTO
Zip Code 95355
Specialty FAMILY PRACTICE
City + Specialty MODESTO + FAMILY PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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