| Dr Mark Allen Fullmer, MD | |
|
1055 N 300 W, Suite 418, Provo, UT 84604-3344 | |
| (801) 357-7100 | |
| (801) 357-8100 |
| Full Name | Dr Mark Allen Fullmer |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 1055 N 300 W, Provo, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457420853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 152450-1205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Allen Fullmer, MD 1512 Renaissance Towne Dr Ste 200, Bountiful, UT 84010-7517 Ph: (385) 204-2722 | Dr Mark Allen Fullmer, MD 1055 N 300 W, Suite 418, Provo, UT 84604-3344 Ph: (801) 357-7100 |
Richard M Thomas, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2547 N 1060 E, Provo, UT 84604 Phone: 801-360-7089 | |
Dr. John Emil Wennergren, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9625 | |
Spencer Larson Hill, DO Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Brian Gill, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3550 N. University Ave. #250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. James M Clayton Jr., MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 280 River Park Dr, Ste 240, Provo, UT 84604 Phone: 801-375-4646 Fax: 801-375-1999 | |
James Robert Barrett, MD Surgery Medicare: Medicare Enrolled Practice Location: 3550 N University Ave Ste 250, Provo, UT 84604 Phone: 801-374-9625 Fax: 801-374-9690 | |
Dr. Todd B Engen, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1735 N State St, Provo, UT 84604 Phone: 801-379-2900 Fax: 801-374-6295 |