MICHAEL FULLMER

PAYSON, UT
NPI1780789099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: UT  7192373-1204)
Enumeration Date2006-09-13
Last Update Date2011-03-08
Business Address
-- MICHAEL FULLMER DO
15 S 1000 E SUITE 200
PAYSON, UT 84651-5590
Phone number: 801-465-2800
Mailing Address
-- MICHAEL FULLMER DO
15 S 1000 E SUITE 200
PAYSON, UT 84651-5590
Phone number: 801-465-2800