IndividualActive
Edward Fuller, MD
NPI 1457454548 · Anatomic Pathology & Clinical Pathology Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1457454548
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 26880 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
101 Civic Center Lane
Lake Havasu City, AZ 86403
Phone: (928) 453-3102
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1189
Lake Havasu City, AZ 86405-1189
Registry dates
- Enumerated
- 2006-09-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.