GARY TRENT FULLMER

CHANDLER, AZ
NPI1427008150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence: AZ  2774)
Enumeration Date2006-05-11
Last Update Date2024-12-05
Business Address
GARY TRENT FULLMER P.A.-C
485 S DOBSON RD STE 110
CHANDLER, AZ 85224-5600
Phone number: 480-728-4470
Mailing Address
GARY TRENT FULLMER P.A.-C
PO BOX 33269
PHOENIX, AZ 85067-3269
Phone number: 602-406-4786