Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Joshua Darrell Fuller, MD

Individual provider Pediatrics Physician · NPI 1063723708

Dr. Joshua Darrell Fuller, MD is a Pediatrics Physician in Provo, Utah. Licensed in Georgia and Utah. Registered with an NPI since 2010.

Licensed in
GA, UT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1675 N Freedom Blvd Ste 3
Provo, UT 84604-6927
Phone: (801) 377-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4227 (GA)
Pediatrics Physician Taxonomy 208000000X · Licence 8606156-1205 (UT)

Record details

NPI number1063723708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2010
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020
Mailing address1120 15th St, Augusta, GA 30912-0004

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