NPI 1013164052

Dustin John Fanciullo, MD

Practitioner Vascular Surgery Physician Salt Lake City, UT

Practice location

Address: 1160 E 3900 S STE 3100, Salt Lake City, UT 84124-1290
Phone: (801) 262-2806
Mailing address: PO Box 281490, Atlanta, GA 30384-1490

Registered specialties (2)

Vascular Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence 14267138-1205 (UT)

Other Surgery providers in Utah →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 14267138-1205 (UT)

Registry record

NPI: 1013164052
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Aug 2008
Record last updated: 2 Mar 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.