Individual
CORY FULCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 S 900 E, SALT LAKE CITY, UT 84102-1307
(801) 328-2522
Mailing address
325 E 300 S APT 715, SALT LAKE CITY, UT 84111-3237
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
13303546-1205
UT
Other
Enumeration date
03/18/2018
Last updated
11/16/2023
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