Joseph Fuller, PA-C | |
100 Medical Plz, Lake St Louis, MO 63367-1366 | |
(636) 625-5300 | |
Not Available |
Full Name | Joseph Fuller |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 100 Medical Plz, Lake St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760109953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | 2022046205 (Missouri) | Primary |
Mailing Address | Practice Location Address |
---|---|
Joseph Fuller, PA-C 16 Woods Hill Dr, Chesterfield, MO 63017-8422 Ph: (636) 236-5559 | Joseph Fuller, PA-C 100 Medical Plz, Lake St Louis, MO 63367-1366 Ph: (636) 625-5300 |
Christine Benson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plz, Radiation Oncolocy, Lake St Louis, MO 63367 Phone: 636-639-8629 Fax: 636-327-0479 | |
Taylor Brooke Spruell, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake St Louis, MO 63367 Phone: 636-625-5200 |