Dr Edward P Fuller, MD - Pathology in Lake Havasu City, AZ

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Dr Edward P Fuller, MD is a Pathology - Anatomic Pathology & Clinical Pathology physician based in Lake Havasu City, Arizona. Dr Edward P Fuller is licensed to practice in Arizona (license number 26880) and his current practice location is 101 Civic Center Lane, Lake Havasu City, Arizona. He can be reached at his office (for appointments etc.) via phone at (928) 453-3102.

NPI number for Dr Edward P Fuller is 1457454548 and his current mailing address is Po Box 1189, Lake Havasu City, Arizona. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457454548.

Contact Information

Dr Edward P Fuller, MD
101 Civic Center Lane,
Lake Havasu City, AZ 86403
(928) 453-3102
Not Available

Map and Direction




Physician's Profile

Full NameDr Edward P Fuller
GenderMale
SpecialityPathology - Anatomic Pathology & Clinical Pathology
Location101 Civic Center Lane, Lake Havasu City, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457454548
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Edward P Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457454548NPI-NPPES
523242MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 26880 (Arizona)Primary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology C50618 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Edward P Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Edward P Fuller, MD
Po Box 1189,
Lake Havasu City, AZ 86405-1189

Ph: (928) 854-5370		Dr Edward P Fuller, MD
101 Civic Center Lane,
Lake Havasu City, AZ 86403

Ph: (928) 453-3102

Reviews and Comments


Pathology Doctors in Lake Havasu City, AZ


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