TIMOTHY FULLER

Emergency Medicine

Active Individual
NPI: 1770994550

Practice Address

50 N MEDICAL DR
Salt Lake City, UT 84132

Phone: (801) 581-2121

Specialties

Specialty Code Primary License
Pain Medicine - Pain Medicine 208VP0000X No 9529254-1205 (UT)
Emergency Medicine 207P00000X Yes 9529254-1205 (UT)

Frequently Asked Questions

NPI 1770994550 is the National Provider Identifier for TIMOTHY FULLER, a Emergency Medicine provider located in Salt Lake City, UT. This NPI was enumerated on May 14, 2014.
TIMOTHY FULLER practices at 50 N MEDICAL DR, Salt Lake City, UT 84132.

Quick Facts

NPI
1770994550
Type
Individual
Enumerated
May 14, 2014
Last Updated
Oct 29, 2021

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