OrganizationActive
Edward P Fuller MD PC
NPI 1588832208 · Anatomic Pathology & Clinical Pathology Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1588832208
- Entity type
- Organization
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Fuller, President(928) 854-5370
- License
- C50618 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
101 Civic Center Lane
Lake Havasu City, AZ 86403
Phone: (928) 854-5370
Fax: (928) 854-7942
Street-level locationGet directions
Mailing address
Po Box 1189
Lake Havasu City, AZ 86405
Registry dates
- Enumerated
- 2008-02-15
- Last updated
- 2008-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.