Michael Fullmer
DO | Pediatrics | Male
Michael Fullmer, DO is a Payson, Utah based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Michael Fullmer is
15 S 1000 E, Suite 200, Payson, Utah - 84651-5590. He can be contacted on phone at
801-465-2800.
Michael Fullmer is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Fullmer is
1780789099 which was assigned by NPPES on 13 Sep, 2006 and it was last updated on 08 Mar, 2011.
Michael Fullmer license number is
7192373-1204 for Pediatrics (208000000X) in Utah.
Michael Fullmer is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Michael Fullmer basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Michael Fullmer |
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| Credential : | DO |
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| Gender : | Male |
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Business Address:
Michael Fullmer address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15 S 1000 E, Suite 200
Payson, UT, 84651-5590
United States |
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| Phone Number : | 801-465-2800 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780789099 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Sep, 2006 |
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| Last Updated On : | 08 Mar, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Fullmer are as mentioned. Primary taxonomy code for Michael Fullmer, DO is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 7192373-1204 | UT |
Legacy Identifiers:
Other legacy medical identifiers of Michael Fullmer such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1497812721 | MEDICAID | UT | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15 S 1000 E, Suite 200
Payson, UT, 84651-5590
United States |
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| Phone Number : | 801-465-2800 |
|---|
Business Location:
Patients can refer following map for directions to
Michael Fullmer practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.