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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DUSTIN JOHN FANCIULLO, M.D.

Active

DUSTIN JOHN FANCIULLO, M.D. is a Vascular Surgery healthcare provider located in SALT LAKE CITY, Utah. NPI 1013164052 is currently active in the NPPES registry. Verify at CMS.

Vascular Surgery · SALT LAKE CITY, UT

Registration Details

NPI Number
1013164052
Provider Type
Individual
Gender
Male
NPI Issued
Aug 21, 2008 (18.003631596324 yrs)
Last Updated
Mar 2, 2026
Licenses
14267138-1205 (UT)
14267138-1205 (UT)

Practice Information

Address
1160 E 3900 S STE 3100
SALT LAKE CITY, UT, 841241290
Browse UT providers · Browse ZIP 84124
Phone
8012622806
Primary Specialty
Vascular Surgery
2086S0129X
Additional Specialty
Vascular Surgery

Other Vascular Surgery Providers in SALT LAKE CITY, UT

Name Credential NPI
DR. DANIEL V KINIKINI M.D. 1043264070
STEVEN CHARLES SIMPER MD 1174617336
DR. CRAIG H SELZMAN MD 1902991144
DR. FRITZ R BECH MD 1831287242
MICHELLE TOWER MUELLER MD 1437249042
MARK RUSSELL SARFATI MD 1467542084
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.