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Gary Trent Fullmer, PA-C
Surgical Physician Assistant in Chandler, Arizona
NPI 1427008150

Gary Trent Fullmer is a Surgical Physician Assistant based in Phoenix, AZ and is specialized in Surgical. Gary Trent Fullmer practices in Chandler, AZ and has the professional credentials of PA-C. The NPI Number for Gary Trent Fullmer is 1427008150 and holds a License No. 2774 (Arizona).

The current practice location address for Gary Trent Fullmer is 485 S Dobson Rd Ste 110, Chandler, AZ and can be reached out via phone at 480-728-4470 and via fax at 480-728-4499.

Location: 485 S Dobson Rd Ste 110, Chandler, AZ, 85067-3269
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Provider Profile Details
NPI Number
1427008150
Provider Name
Gary Trent Fullmer
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
485 S Dobson Rd Ste 110, Chandler, AZ, 85067-3269
Phone Number
480-728-4470
Fax Number
480-728-4499
Provider Enumeration Date
05/11/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2774 01 AZ PHYSICIAN ASSISTANT LICEN
institution
Provider Business Practice Location Address Details
Address
485 S Dobson Rd Ste 110
City
State
Zip
85224-5600
Phone Number
480-728-4470
Fax Number
480-728-4499
person
Provider Business Mailing Address Details
Address
485 S Dobson Rd Ste 110
City
State
Zip
85224-5600
Phone Number
480-728-4470
Fax Number
480-728-4499
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
2774 (Arizona)
Definition
Definition to come...
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