Fuller, Joshua Darrell

Fuller, Joshua Darrell is an individual health care provider with primary practice located at 1675 N Freedom Blvd Ste 3 , Provo UT 84604-6927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fuller, Joshua Darrell can be contacted via phone (801) 377-8000.

Contact Information

Primary practice address
1675 N Freedom Blvd Ste 3 Provo UT 84604-6927
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8606156-1205 Utah
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4227 Georgia

Profile Details

NPI number 1063723708
LBN Legal business name Fuller, Joshua Darrell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Jul 21st, 2020 - about 6 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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