MR. Frederick P Fuller, PA-C is a medical physician assistant in Salt Lake City, UT with 25 years of experience. MR. Frederick P Fuller, PA-C NPI is 1154364099. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1999
The provider's business location address is:
50 N MEDICAL DR
SALT LAKE CITY, UT
ZIP 84132-004
Phone: (801) 581-2292
The NPI 1154364099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 6/14/2006 and was last updated on 12/10/2021.