Radiology, Diagnostic Radiology
Dr. JONATHAN FULLNER M.D.
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1427310523 · enumerated 2012-06-13 · record updated 2018-03-17. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 3901 PINE LAKE RD, LINCOLN, NE, 68516-5497 (402) 420-3500 Google Maps Apple Maps OpenStreetMap
- Practice location 350 W THOMAS RD, PHOENIX, AZ, 85013-4409 (602) 406-7783 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · License 6773 NE
- 2085N0700X 2085N0700X · License 54143 AZ
- Radiology, Diagnostic Radiology 2085R0202X · License 28782 NE
- Radiology, Diagnostic Radiology 2085R0202X · Primary · License 54143 AZ
In this directory
Locations and evidence
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Practice location
PHOENIX, AZ, 850134409
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.