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

MICHAEL FULLMER, DO

Active

MICHAEL FULLMER, DO is a Pediatrics healthcare provider located in PAYSON, Utah. NPI 1780789099 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · PAYSON, UT

Registration Details

NPI Number
1780789099
Provider Type
Individual
Gender
Male
NPI Issued
Sep 13, 2006 (19.935983356043 yrs)
Last Updated
Mar 8, 2011
License
7192373-1204 (UT)

Practice Information

Address
15 S 1000 E
SUITE 200
PAYSON, UT, 846515590
Browse UT providers · Browse ZIP 84651
Phone
8014652800
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Providers in PAYSON, UT

Name Credential NPI
DR. DAVID SHAWN BUSH M.D. 1538144159
DR. GARRON E MILLER MD 1114992856
DR. JONATHAN PAUL PETERSON M.D. 1053535930
BENJAMIN GRANT LAURITZEN M.D. 1659537850
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.