IndividualActive
Maynard Fuller, M.D.
NPI 1679515589 · Medical Oncology Physician · Las Cruces, NM
Provider details
- NPI number
- 1679515589
- Entity type
- Individual
- Primary specialty
- Medical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 97239 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 S Roadrunner Pkwy
Las Cruces, NM 88011-7044
Phone: (505) 556-8600
Fax: (505) 556-8700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 911230
Dallas, TX 75391-1230
Registry dates
- Enumerated
- 2006-06-12
- Last updated
- 2008-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.