Fuller, Gene R

Fuller, Gene R is an individual health care provider with primary practice located at 999 Murray Holladay Rd Suite 207, Salt Lake City UT 84117-4901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fuller, Gene R can be contacted via phone (801) 268-2584.

Contact Information

Primary practice address
999 Murray Holladay Rd Suite 207 Salt Lake City UT 84117-4901
Phone: (801) 268-2584
Fax: (801) 262-1168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1786161205 Utah

Profile Details

NPI number 1396710281
LBN Legal business name Fuller, Gene R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396710281 NPPES
Utah MEDICAID 870573947004

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