Doctor Name: | JEFFERY FULLER |
NPI Number: | 1003827601 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 018474 |
Business Practice Address: | 4864 Jackson St Department Of Emergency Medical Services Monroe, LA - 712026400 |
Business Phone Number: | 3186757737 |
Business Fax Number: | 3186755666 |
Mailing Address: | 1501 Kings Hwy, Managed Care SHREVEPORT |
State: | LA |
Postal Code: | 71103 |
Phone Number: | 3186757737 |
Fax Number: | 3186755666 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | 018474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |