MR. CHASE FULLERTON, PA

Physician Assistant

Active Individual
NPI: 1326391160

Practice Address

100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113

Phone: (801) 662-1000

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 10438332-1206 (UT)

Frequently Asked Questions

NPI 1326391160 is the National Provider Identifier for MR. CHASE FULLERTON, PA, a Physician Assistant provider located in Salt Lake City, UT. This NPI was enumerated on October 17, 2012.
MR. CHASE FULLERTON, PA practices at 100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113.

Quick Facts

NPI
1326391160
Type
Individual
Enumerated
Oct 17, 2012
Last Updated
Jan 22, 2026

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