Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACE PAUL FULLMER, D.O.
ActiveDR. JACE PAUL FULLMER, D.O. is a Emergency Medicine healthcare provider located in SALT LAKE CITY, Utah. NPI 1306145776 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SALT LAKE CITY, UT
Registration Details
- NPI Number
- 1306145776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 23, 2011 (15.387761419353 yrs)
- Last Updated
- Dec 19, 2015
- License
-
9415721-1204 (UT)
Practice Information
- Address
-
5121 S COTTONWOOD STSALT LAKE CITY, UT, 841075701Browse UT providers · Browse ZIP 84107
- Phone
- 8015079700
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in SALT LAKE CITY, UT
| Name | Credential | NPI |
|---|---|---|
| DEANNE LONG | MD | 1023087343 |
| RUSSELL BRADLEY | MD | 1376502013 |
| JAMES ANTINORI | MD | 1447210513 |
| KRISTEN JAHN | MD | 1013977537 |
| MARIAN SERRA | MD | 1013979129 |
| PETER P TAILLAC | MD | 1467414581 |
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.