Dr. Clayton G Fuller, MD
Family Medicine in St George, UT. Individual provider (NPI-1).
NPI number1801840962
StatusActive
Last updated in NPPESSep 30, 2021
Details
- NPI
- 1801840962
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clayton G Fuller
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 20, 2006
- Certification date
- Sep 30, 2021
- Last updated
- Sep 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 8696821-1205 | UT | Yes |
| 207P00000X | Emergency Medicine | 11085 | NV | |
| 207Q00000X | Family Medicine | 11085 | NV |
Practice location
577 S River RdSt George, UT 84790-2097
Phone 435-688-6300
Mailing address
Po Box 27128Salt Lake City, UT 84127-0128
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