Joseph Fuller, PA-C
Physician Assistant in Tripler Army Medical Center, HI. Individual provider (NPI-1).
NPI number1760109953
StatusActive
Last updated in NPPESJan 14, 2025
Details
- NPI
- 1760109953
- Entity type
- Individual (NPI-1)
- Name
- Joseph Fuller
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2022
- Certification date
- Jan 14, 2025
- Last updated
- Jan 14, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 363A00000X | Physician Assistant | 2022046205 | MO |
Practice location
1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
Phone 636-625-5300
Mailing address
1 Jarrett White RdTripler Army Medical Center, HI 96859-5001
Phone 636-236-5559
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All 32 Physician Assistant providers in Tripler Army Medical Center · All 856 providers in Tripler Army Medical Center
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