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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 IncInferred 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