Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Gary Trent Fullmer, PA-C

Individual provider Surgical Physician Assistant · NPI 1427008150

Gary Trent Fullmer, PA-C is a Surgical Physician Assistant in Chandler, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

485 S Dobson Rd Ste 110
Chandler, AZ 85224-5600
Phone: (480) 728-4470
Fax: (480) 728-4499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2774 (AZ)

Record details

NPI number1427008150
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 11, 2006
Last updated in NPPESDecember 5, 2024
Certification dateDecember 5, 2024

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