Michael Fullmer, DO

NPI #1780789099 in Payson, Utah

Provider Information

NPI Number: 1780789099
Entity Type: Individual
Name: Michael Fullmer, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: DO
Enumeration Date: Sep 13, 2006
Last Updated: Mar 8, 2011

Practice Location

Address: 15 S 1000 E
Address 2: SUITE 200
City: Payson
State: Utah
ZIP Code: 84651-5590
Phone: (801) 465-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Organizations

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Canyon View Medical Group LLC	Pediatrics	Payson	AI Deep Dive

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