DR. Joshua Darrell Fuller, M.D.

NPI #1063723708 in Provo, Utah

Provider Information

NPI Number: 1063723708
Entity Type: Individual
Name: DR. Joshua Darrell Fuller, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 28, 2010
Last Updated: Jul 21, 2020

Practice Location

Address: 1675 N FREEDOM BLVD STE 3
City: Provo
State: Utah
ZIP Code: 84604-6927
Phone: (801) 377-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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