| Cory Fulcher, | |
|
22 S 900 E, Salt Lake City, UT 84102-1307 | |
| (801) 328-2522 | |
| Not Available |
| Full Name | Cory Fulcher |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Location | 22 S 900 E, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295238095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 13303546-1205 (Utah) | Primary |
| Entity Name | Intermountain Ear Nose And Throat Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487764411 PECOS PAC ID: 8022901610 Enrollment ID: O20040206000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Fulcher, 325 E 300 S Apt 715, Salt Lake City, UT 84111-3237 Ph: () - | Cory Fulcher, 22 S 900 E, Salt Lake City, UT 84102-1307 Ph: (801) 328-2522 |
Dr. Kendall M. Burgett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-662-5663 | |
Dr. Jason P Hunt, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121 | |
Russell Jon Ord, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 333 S 900 E, Salt Lake City, UT 84102 Phone: 801-535-8185 Fax: 801-355-4011 | |
Dr. David Parker Hill, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2000 S 900 E, Salt Lake City, UT 84105 Phone: 801-464-7660 Fax: 801-464-7558 | |
Dr. Bethany R Powers, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 6322 S 3000 E Ste 170, Salt Lake City, UT 84121 Phone: 801-513-3223 | |
Quinn Taylor Orb, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Som 3c-120, Salt Lake City, UT 84132 Phone: 801-581-7514 Fax: 801-585-5744 | |
Dr. Boyd Neil Cole, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1002 E South Temple, #205, Salt Lake City, UT 84102 Phone: 801-533-0324 Fax: 801-539-0220 |