FREDERICK P FULLER

SALT LAKE CITY, UT
NPI1154364099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: UT  9860440-1206)
Enumeration Date2006-06-14
Last Update Date2021-12-10
Business Address
Mr. FREDERICK P FULLER PA-C
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-3004
Phone number: 801-581-2292
Mailing Address
Mr. FREDERICK P FULLER PA-C
PO BOX 413033
SALT LAKE CITY, UT 84141-3033
Phone number:
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