JACE PAUL FULLMER

SALT LAKE CITY, UT
NPI1306145776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: UT  9415721-1204)
Enumeration Date2011-03-23
Last Update Date2015-12-19
Business Address
Dr. JACE PAUL FULLMER D.O.
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number: 801-507-9700
Mailing Address
Dr. JACE PAUL FULLMER D.O.
5121 S COTTONWOOD ST
SALT LAKE CITY, UT 84107-5701
Phone number:
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