Individual
DR. CLAYTON G FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
577 S RIVER RD, ST GEORGE, UT 84790-2097
(435) 688-6300
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11085
NV
207Q00000X
Family Medicine Physician
11085
NV
207Q00000X
Family Medicine Physician
Primary
8696821-1205
UT
Other
Enumeration date
05/20/2006
Last updated
09/30/2021
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