Provider Type Icon

DR. JOSHUA DARRELL FULLER M.D. NPI 1063723708


NPI Information

NPI: 1063723708
Provider Name: DR. JOSHUA DARRELL FULLER, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1675 N FREEDOM BLVD STE 3
PROVO, UT
ZIP 84604
Phone: (801) 377-8000
Get Directions

DR. Joshua Darrell Fuller, M.D. is a pediatrics in Provo, UT. The provider is a pediatrician 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. DR. Joshua Darrell Fuller, M.D. NPI is 1063723708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1675 N FREEDOM BLVD STE 3
PROVO, UT
ZIP 84604-927
Phone: (801) 377-8000

The enumeration date for this NPI number is 6/28/2010 and was last updated on 7/21/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics4227GEORGIAYes
2208000000XPediatrics8606156-1205UTAHNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.