DR. MARK FULLMER, M.D.

Surgery

Active Individual
NPI: 1457420853

Practice Address

1055 N 300 W
SUITE 418
Provo, UT 84604

Phone: (801) 357-7100

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 152450-1205 (UT)

Frequently Asked Questions

NPI 1457420853 is the National Provider Identifier for DR. MARK FULLMER, M.D., a Surgery provider located in Provo, UT. This NPI was enumerated on November 7, 2006.
DR. MARK FULLMER, M.D. practices at 1055 N 300 W, SUITE 418, Provo, UT 84604.

Quick Facts

NPI
1457420853
Type
Individual
Enumerated
Nov 7, 2006
Last Updated
Mar 7, 2023

Nearby Providers