person
Mr. Frederick P Fuller, PA-C
Medical Physician Assistant in Salt Lake City, Utah
NPI 1154364099

Frederick P Fuller is a Medical Physician Assistant based in Salt Lake City, UT and is specialized in Medical. Frederick P Fuller practices in Salt Lake City, UT and has the professional credentials of PA-C. The NPI Number for Frederick P Fuller is 1154364099 and holds a License No. 9860440-1206 (Utah).

The current practice location address for Frederick P Fuller is 50 N Medical Dr, Salt Lake City, UT and can be reached out via phone at 801-581-2292.

Location: 50 N Medical Dr, Salt Lake City, UT, 84141-3033
person
Provider Profile Details
NPI Number
1154364099
Provider Name
Frederick P Fuller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
50 N Medical Dr, Salt Lake City, UT, 84141-3033
Phone Number
801-581-2292
Fax Number
Provider Enumeration Date
06/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
50 N Medical Dr
City
State
Zip
84132-3004
Phone Number
801-581-2292
Fax Number
person
Provider Business Mailing Address Details
Address
50 N Medical Dr
City
State
Zip
84132-3004
Phone Number
801-581-2292
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9860440-1206 (Utah)
Definition
Definition to come...
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