Individual
BEN E FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 S 400 W, SALT LAKE CITY, UT 84101-1145
(801) 456-7226
(801) 456-7228
Mailing address
130 S 400 W, SALT LAKE CITY, UT 84101-1145
(801) 456-7226
(801) 456-7228
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
1499351205
UT
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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