Dr Joshua Darrell Fuller, MD - Pediatrics in Provo, UT

Dr Joshua Darrell Fuller, MD is a Pediatrics physician based in Provo, Utah. Dr Joshua Darrell Fuller is licensed to practice in Georgia (license number 4227) and his current practice location is 1675 N Freedom Blvd Ste 3, Provo, Utah. He can be reached at his office (for appointments etc.) via phone at (801) 377-8000.

NPI number for Dr Joshua Darrell Fuller is 1063723708 and his current mailing address is 1120 15th St, Augusta, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063723708.

Contact Information

Dr Joshua Darrell Fuller, MD
1675 N Freedom Blvd Ste 3,
Provo, UT 84604-6927
(801) 377-8000
Not Available



Physician's Profile

Full NameDr Joshua Darrell Fuller
GenderMale
SpecialityPediatrics
Location1675 N Freedom Blvd Ste 3, Provo, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1063723708
  • Provider Enumeration Date: 06/28/2010
  • Last Update Date: 07/21/2020

Medical Identifiers

Medical identifiers for Dr Joshua Darrell Fuller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063723708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 8606156-1205 (Utah)Secondary
208000000XPediatrics 4227 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Joshua Darrell Fuller is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Joshua Darrell Fuller, MD
1120 15th St,
Augusta, GA 30912-0004

Ph: (706) 721-9442
Dr Joshua Darrell Fuller, MD
1675 N Freedom Blvd Ste 3,
Provo, UT 84604-6927

Ph: (801) 377-8000

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› Verified 6 days ago


Pediatrics Doctors in Provo, UT

Dr. Renae Holland, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1300 E Center St, Utah State Hospital, Provo, UT 84606
Phone: 801-344-4311    Fax: 801-344-4225
Jordan Gaudio, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-1700    
Danielle Elise Smith, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-8411    
Dr. Chuanchau Jerry Jou, DO
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1055 N 300 W Ste 311, Provo, UT 84604
Phone: 385-477-6800    Fax: 385-477-6801
Leslie Mark Lang, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1034 N 500 W, Provo, UT 84604
Phone: 801-357-7707    
Bradley Wayne Anderson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1355 N University Ave, #210, Provo, UT 84604
Phone: 801-373-8930    Fax: 801-377-6811

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