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

Michael Fullmer, DO

Individual provider Pediatrics Physician · NPI 1780789099

Michael Fullmer, DO is a Pediatrics Physician in Payson, Utah. Licensed in Utah. Registered with an NPI since 2006.

Licensed in
UT
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

15 S 1000 E Ste 200
Payson, UT 84651-5590
Phone: (801) 465-2800
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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 7192373-1204 (UT)

Record details

NPI number1780789099
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedSeptember 13, 2006
Last updated in NPPESMarch 8, 2011
Mailing address15 S 1000 E, Suite 200, Payson, UT 84651-5590

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