Mark Allen Fullmer is a Surgery in Provo, Utah. Mark Allen Fullmer practices all healthcare services and medical treatments related to Surgery. The NPI Number for Mark Allen Fullmer is 1457420853. The last update date is 2023-03-07.
Mark Allen Fullmer's current location address is 1055 N 300 W, Provo, Utah. You can contact this provider via phone number 8013577100 and fax number 8013578100. The mailing address for Mark Allen Fullmer is 1055 N 300 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Allen Fullmer |
|---|---|
| Address | 1055 N 300 W, Provo, Utah |
| Phone Number | 8013577100 |
| Fax Number | 8013578100 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1457420853 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1055 N 300 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043344 |
| Phone Number | 8013577100 |
| Fax Number | 8013578100 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 152450-1205 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique identifier code issued to Mark Allen Fullmer by the Centers for Medicare & Medicaid Services?
The Mark Allen Fullmer has been assigned the NPI (National Provider Identifier) 1457420853. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mark Allen Fullmer's facilities are situated?
The facilities of Mark Allen Fullmer are physically located at the following address: 1055 N 300 W, Provo, UT, 846043344.
What is Mark Allen Fullmer's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark Allen Fullmer is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1457420853 to Mark Allen Fullmer?
The Mark Allen Fullmer received its 1457420853 assignment from the Centers for Medicare & Medicaid Services on 2006-11-07.
As of what date were the details pertaining to Mark Allen Fullmer last refreshed?
The information related to the Mark Allen Fullmer, including its address, specialty, and other relevant details, was last updated on 2023-03-07.