Individual
DR. WILLIAM D. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 554-8984
(916) 734-3951
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 554-8984
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A87087
CA
Other
Enumeration date
11/18/2005
Last updated
10/16/2018
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