SearchUtah208000000X

Joshua Fuller, M.D

NPI 1063723708 · on the registry since 2010

Practice

Address
1675 N Freedom Blvd Ste 3
Provo, UT 84604
Phone
(801) 377-8000
Organisation at this address
Srs-Provo, Llc
Pediatric Care Inc
Thompson Therapy Llc
Total Renal Care Inc
Total Renal Care Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
UT, GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-21

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