| Leta R Fuller, MD | |
|
4401 Harrison Blvd, Ogden, UT 84403-3195 | |
| (801) 387-4300 | |
| Not Available |
| Full Name | Leta R Fuller |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 4401 Harrison Blvd, Ogden, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982696159 | NPI | - | NPPES |
| 2140178 | Medicaid | OH | |
| 64060502 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 6000865-1205 (Utah) | Primary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 35073246 (Ohio) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Leta R Fuller, MD 324 E 10th Ave Ste 172, Slc, UT 84103-2884 Ph: (801) 408-5155 | Leta R Fuller, MD 4401 Harrison Blvd, Ogden, UT 84403-3195 Ph: (801) 387-4300 |
Dr. Isabel Cristina Lau, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5405 S 500 E Ste 205, Ogden, UT 84405 Phone: 801-479-0174 Fax: 801-479-8888 | |
Dr. William Richard Weeks, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4011 Beus Dr, Ogden, UT 84403 Phone: 801-393-9654 | |
Dr. Christine Ann Nefcy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4403 Harrison Blvd, 4875, Ogden, UT 84403 Phone: 801-387-4500 Fax: 801-387-4712 | |
Joshua Mcbride, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd Ste 4875, Ogden, UT 84403 Phone: 801-387-3389 Fax: 801-387-4712 | |
Mark J Sheffield, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4401 Harrison Blvd, Ogden, UT 84403 Phone: 801-387-4300 | |
Dr. King Hom, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4403 Harrison Blvd, Ste 4875, Ogden, UT 84403 Phone: 801-387-4500 | |
Donald F Watts, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3955 Harrison Blvd, L-1, Ogden, UT 84403 Phone: 801-621-1701 Fax: 801-393-9411 |