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Jace Fullmer, D.O
NPI 1306145776 · on the registry since 2011
Practice
- Address
- 5121 S Cottonwood St
Salt Lake City, UT 84107 - Phone
- (801) 507-9700
- Organisation at this address
- Utah Emergency Physicians
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 57
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-19
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