Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FREDERICK P FULLER, PA-C
ActiveMR. FREDERICK P FULLER, PA-C is a Medical Physician Assistant healthcare provider located in SALT LAKE CITY, Utah. NPI 1154364099 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1154364099
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.19220782437 yrs)
- Last Updated
- Jan 13, 2025
- Licenses
-
018646 (NY)9860440-1206 (UT)
Practice Information
- Address
-
50 N MEDICAL DRSALT LAKE CITY, UT, 841323004Browse UT providers · Browse ZIP 84132
- Phone
- 8015812292
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| MARGARET MICHELE LOVELL | PA | 1922093558 |
| MICHAEL DAVID ENGELBERT-FENTON | PA-C | 1194701920 |
| MR. DAVID JOE KEAHEY | PA-C | 1003892837 |
| VIET LE | PAC | 1669440152 |
| LOUISE K TOBEY | PA-C | 1841252004 |
| CHARLES S KING | PA | 1740235845 |
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.