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DR. EDWARD P FULLER MD
NPI 1457454548
Pathology - Anatomic Pathology & Clinical Pathology in Lake Havasu City, AZ

Active since September 06, 2006
101 CIVIC CENTER LANE, LAKE HAVASU CITY, AZ 86403(928) 453-3102 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Edward P Fuller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWARD P FULLER MD (NPI 1457454548) is an individual anatomic pathology & clinical pathology provider in Lake Havasu City, Arizona, licensed in Arizona (26880) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1457454548
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. EDWARD P FULLERCredential: MD
Location Address101 CIVIC CENTER LANELake Havasu City, AZ 86403
Mailing AddressPo Box 1189Lake Havasu City, AZ 86405-1189 · (928) 854-5370 · Fax (928) 854-7942
Phone(928) 453-3102
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457454548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in AZ · 26880✔ Licensed in CA · C50618
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
101 CIVIC CENTER LANE, Lake Havasu City, AZ 86403
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Other Identifiers 4

Medicaid523242AZ
Medicare ID-Type Unspecified74674AZ
Medicare UPINH04697
Medicare ID-Type Unspecified74673AZ

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD P FULLER MD PC
Pathology (Anatomic Pathology & Clinical Pathology)
101 CIVIC CENTER LANE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 854-5370
MARC ZEPHIRE PETERSON CRNA
Nurse Anesthetist, Certified Registered
101 CIVIC CENTER LANE, HAVASU REGIONAL MEDICAL CENTER
LAKE HAVASU, AZ 86403
Mohave County (928) 505-5760

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Fuller's NPI number?

The NPI number for Edward Fuller is 1457454548. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Edward Fuller located?

Edward Fuller practices at 101 Civic Center Lane, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-3102.

What is Edward Fuller's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

When was this NPI record last updated?

The NPPES record for Edward Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.