MARK ALLEN FULLMER

PROVO, UT
NPI1457420853
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208600000X Surgery
(Licence: UT  152450-1205)
Enumeration Date2006-11-07
Last Update Date2023-03-07
Business Address
Dr. MARK ALLEN FULLMER M.D.
1055 N 300 W SUITE 418
PROVO, UT 84604-3344
Phone number: 801-357-7100
Mailing Address
Dr. MARK ALLEN FULLMER M.D.
1512 RENAISSANCE TOWNE DR STE 200
BOUNTIFUL, UT 84010-7517
Phone number: 385-204-2722
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