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

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1982696159

Leta R Fuller, MD is a Neonatal-Perinatal Medicine Physician in Ogden, Utah. Works from 2 locations. Licensed in Ohio and Utah.

Licensed in
OH, UT
In the registry since
2005
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

4401 Harrison Blvd
Ogden, UT 84403-3195
Phone: (801) 387-4300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 W Layton Pkwy, Layton, UT 84041-3692 — (801) 507-2404

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 6000865-1205 (UT)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 35073246 (OH)

Record details

NPI number1982696159
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESMay 19, 2024
Certification dateApril 26, 2024
Mailing address324 E 10th Ave Ste 172, Slc, UT 84103-2884

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