Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK ALLEN FULLMER, M.D.
Active Sole ProprietorDR. MARK ALLEN FULLMER, M.D. is a General Surgery healthcare provider located in PROVO, Utah. NPI 1457420853 is currently active in the NPPES registry. Verify at CMS.
General Surgery · PROVO, UT
Registration Details
- NPI Number
- 1457420853
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2006 (19.785978518129 yrs)
- Last Updated
- Mar 7, 2023
- License
-
152450-1205 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1055 N 300 WSUITE 418PROVO, UT, 846043344Browse UT providers · Browse ZIP 84604
- Phone
- 8013577100
- Fax
- 8013578100
- Primary Specialty
-
General Surgery
208600000X
Other General Surgery Providers in PROVO, UT
| Name | Credential | NPI |
|---|---|---|
| CRAIG S COOK | MD | 1851347090 |
| DAVID PJ GARRY | MD | 1497702252 |
| LEE M PETERSON | MD | 1316987613 |
| RICHARD M THOMAS | MD | 1053135392 |
| R RICHARD RASMUSSEN | MD | 1528008588 |
| BRUCE B HILL | MD | 1699715664 |
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.