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General NPI Number Information
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NPI Number | 1891016408
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Entity Type | Organization
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Legal Business Name | WILLIAM E. FULLER M.D., P.C.
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Dates
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Enumeration Date | 06/17/2010
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 5100
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City | DENVER
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State | CO
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Zip | 80218-1254
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Country | US
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Telephone | 303-320-1227
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Fax | 303-320-1235
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Provider Business Mailing Address
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Address Line | 1601 E 19TH AVE STE 5100
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City | DENVER
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State | CO
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Zip | 80218-1254
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Country | US
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Telephone | 303-320-1227
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Fax | 303-320-1235
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DR. WILLIAM E FULLER
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Credential | M.D.
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Telephone | 303-320-1227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 15707
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License Number State | CO
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