SearchUtah225100000X

Larry Fullmer

NPI 1821075912 · on the registry since 2005

Practice

Address
9720 S 1300 E
#W200
Sandy, UT 84094
Phone
(801) 572-0690
Organisation at this address
David R Boettger Md Pc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-02-14

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