| Doctor Name: | DR. ERIC FILLMORE |
| NPI Number: | 1235510058 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DNP FNP-C |
| License Number: | 6994602-4405 |
| Business Practice Address: | 5860 N Hospital Dr #102 Globe, AZ - 85501 |
| Business Phone Number: | 9284020491 |
| Business Fax Number: | |
| Mailing Address: | 255 N Third St, GLOBE |
| State: | AZ |
| Postal Code: | 855011711 |
| Phone Number: | 8018241541 |
| Fax Number: | |
| NPI Enumeration Date: | 06/17/2015 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 6994602-4405 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |