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Contact Information

CLAYTON G FULLER, MD
577 S RIVER RD
SAINT GEORGE, UT84790-2097
 Phone: 435-688-6300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CLAYTON G FULLER · (Male)

NPI # 1801840962
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 09/30/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NV License # 11085
  • UT License # 8696821-1205
Hospital affiliation(s)
  • DIXIE REGIONAL MEDICAL CENTER - (Acute Care)
    1380 EAST MEDICAL CENTER DRIVE
    ST GEORGE, UT 84790
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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