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1972130680
ANDREW K. FULLER
SALT LAKE CITY, UT
NPI
1972130680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: UT 13284709-1205)
Enumeration Date
2020-03-24
Last Update Date
2023-03-04
Business Address
ANDREW K. FULLER MD
30 N 1900 E RM 4R118
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2121
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Mailing Address
ANDREW K. FULLER MD
30 N 1900 E RM 4R118
SALT LAKE CITY, UT 84132-0002
Phone number: 801-581-2121
Copy
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