National Provider Identifier Database

LETA R FULLER, MD – NPI #1982696159
Neonatal-Perinatal Medicine

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.


Contact Information

LETA R FULLER, MD
4401 HARRISON BLVD
OGDEN, UT84403-3195
Phone: 801-387-4300
Fax:
Website:
Specialty Taxonomy Code
* Neonatal-Perinatal Medicine 2080N0001X

* Indicates primary specialty

NPI Profile & details for LETA R FULLER

NPI Number 1982696159
Credentials MD
Entity Individual
Enumeration date 08/16/2005
Last updated 05/19/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • OH License #: 35073246
  • UT License #: 6000865-1205
  • KY Medicaid: 64060502
  • OH Medicaid: 2140178
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for LETA R FULLER, MD

There are currently no reviews for LETA R FULLER, MD


NPIdb - Home
v2.201