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Organization

WILLIAM E. FULLER M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM E FULLER M.D. (OWNER/PRES)
(303) 320-1227
Entity
Organization

Contact information

Practice address
1601 E 19TH AVE STE 5100, DENVER, CO 80218-1254
(303) 320-1227
(303) 320-1235
Mailing address
1601 E 19TH AVE STE 5100, DENVER, CO 80218-1254
(303) 320-1227
(303) 320-1235

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15707
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01157072
CO
05
95025545
CO
Enumeration date
06/17/2010
Last updated
02/14/2011
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