LETA R FULLER

OGDEN, UT
NPI1982696159
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: UT  6000865-1205)
Additional Taxonomies2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: OH  35073246)
Enumeration Date2005-08-16
Last Update Date2024-05-19
Business Address
LETA R FULLER MD
4401 HARRISON BLVD
OGDEN, UT 84403-3195
Phone number: 801-387-4300
Mailing Address
LETA R FULLER MD
324 E 10TH AVE STE 172
SLC, UT 84103-2884
Phone number: 801-408-5155