Individual
AUSTIN JOSEPH PERRY FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
5121 S COTTONWOOD ST, MURRAY, UT 84107-5701
(949) 874-1825
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76044
AZ
Other
Enumeration date
04/01/2020
Last updated
06/23/2025
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