Individual provider · Type 1 NPI

Mark Allen Fullmer, MD

Surgery Physician · Provo, UT

NPI number 1457420853 Active

Practice location

1055 N 300 W, Suite 418
Provo, UT 84604-3344

Call (801) 357-7100 Map

Fax (801) 357-8100

Mailing address

1512 Renaissance Towne Dr Ste 200
Bountiful, UT 84010-7517

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X152450-1205 (UT)

Surgery Physician: 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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1457420853

Mark Allen Fullmer, MD's National Provider Identifier is 1457420853, issued on Nov 7, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Provo, UT. The record was last updated on Mar 7, 2023.