MEDICARE: DELL ARTHUR FULLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	4073	MT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080026830	OTHER	MT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841395134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELL ARTHUR FULLER MD

Provider Business Mailing Address
First Line	:	935 HIGHLAND BLVD
Second Line	:	SUITE 2210
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6904
Country	:	US
Telephone Number	:	406-587-3133
Fax Number	:	406-586-9671

Provider Business Practice Location Address
First Line	:	935 HIGHLAND BLVD
Second Line	:	SUITE 2210
City	:	BOZEMAN
State	:	MT
Zip	:	59715-6904
Country	:	US
Telephone Number	:	406-587-3133
Fax Number	:	406-586-9671

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	11/17/2009

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Directions to “ DELL ARTHUR FULLER MD” Practice Location

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