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EDWARD P FULLER MD PC
NPI 1588832208
Pathology - Anatomic Pathology & Clinical Pathology in Lake Havasu City, AZ

Active since February 15, 2008
101 CIVIC CENTER LANE, LAKE HAVASU CITY, AZ 86403(928) 854-5370(928) 854-7942 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Edward P Fuller Md Pc NPPES

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

EDWARD P FULLER MD PC (NPI 1588832208) is a healthcare organization registered as an anatomic pathology & clinical pathology in Lake Havasu City, Arizona and active in the NPI registry since February 2008. The organization lists Edward P Fuller, President, as its authorized official.

NPPES Registry Identity

NPI1588832208
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameEDWARD P FULLER MD PC
Location Address101 CIVIC CENTER LANELake Havasu City, AZ 86403
Mailing AddressPo Box 1189Lake Havasu City, AZ 86405 · (928) 854-5370 · Fax (928) 854-7942
Phone(928) 854-5370
Fax(928) 854-7942
Organization SubpartNo
Authorized OfficialEdward P FullerPresident · (928) 854-5370
Enumeration DateFebruary 15, 2008
✔ NPI 1588832208 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 3

Medicare PIN74673AZ
Medicare UPINH04697AZ
Medicaid523242AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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.

DR. EDWARD P FULLER MD
Pathology (Anatomic Pathology & Clinical Pathology)
101 CIVIC CENTER LANE
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-3102
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 P Fuller MD PC's NPI number?

The NPI number for Edward P Fuller MD PC is 1588832208. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Edward P Fuller MD PC located?

Edward P Fuller MD PC is located at 101 Civic Center Lane, Lake Havasu City, AZ 86403. The listed phone number is (928) 854-5370.

What is Edward P Fuller MD PC'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 P Fuller MD PC was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.