Fuller, Spencer

Fuller, Spencer is an individual health care provider with primary practice located at 65 S Mario Capecchi Dr , Salt Lake City UT 84132-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fuller, Spencer can be contacted via phone (801) 316-8910.

Contact Information

Primary practice address
65 S Mario Capecchi Dr Salt Lake City UT 84132-0005
Phone: (801) 316-8910
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2018020280 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2018020280 Missouri
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 12685949-1205 Utah

Profile Details

NPI number 1124513023
LBN Legal business name Fuller, Spencer
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2018
Last updated Jun 22nd, 2022 - about 3 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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