Dr. Carl Duane Fullbright
Emergency Physician
320 Hansen Dr
Fortuna
, California 95540-9753
Dr. Carl Duane Fullbright
Emergency Physician
320 Hansen Dr
Fortuna
, California 95540-9753
(707) 725-0335
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Carl Duane Fullbright
- 320 Hansen Dr
- Fortuna, CA
- Zip : 95540-9753
- Fax : (707) 725-0335
- Phone : (707) 725-0335
Second Address
- Dr. Carl Duane Fullbright
- 320 Hansen Dr
- Fortuna, CA
- Zip : 95540-9753
- Fax : (707) 725-0335
- Phone : (707) 725-0335
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | GFE27636 | CA |
National Provider Identifier
| NPI | 1003069220 |
|---|---|
| Provider Name | Dr. Carl Duane Fullbright |
| First Address | Fortuna, CA 95540-9753 |
| Second Address | Fortuna, CA 95540-9753 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2008 |
| Last Update Date | 31/10/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.