CHASE BRANDON FULLERTON

SALT LAKE CITY, UT
NPI1326391160
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: UT  10438332-1206)
Enumeration Date2012-10-17
Last Update Date2026-01-22
Business Address
Mr. CHASE BRANDON FULLERTON PA
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1103
Phone number: 801-662-1000
Mailing Address
Mr. CHASE BRANDON FULLERTON PA
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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