SearchUtahVascular Surgery Physician

Dustin Fanciullo, M.D

NPI 1013164052 · on the registry since 2008

Practice

Address
1160 E 3900 S Ste 3100
Salt Lake City, UT 84124
Phone
(801) 262-2806
Organisation at this address
R C Halversen Md Pc
Sherman C Smith Md Pc
Granger Medical Clinic, Inc.
Apex Physical Therapy Utah Llc
Utah Physicians Care Centers Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
123

Registry record

Primary taxonomy
Vascular Surgery Physician
2086S0129X
Also registered as
Surgery Physician
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah