Dr WILLIAM CLARK FULLER MD is a male medical professional, specializing in Psychiatry. He graduated in 1972 from University Of Nebraska College Of Medicine.
AVERA MCKENNAN
4500 S PRINCE OF PEACE PL
SIOUX FALLS
SD
571035830
Tel: 6053225600
| Npi | 1518939024 |
| Pac Id | 5294729885 |
| Professional Enrollment Id | I20040414001588 |
| Last Name | FULLER |
| First Name | WILLIAM |
| Middle Name | CLARK |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | PSYCHIATRY |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
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| Organization Legal Name | AVERA MCKENNAN |
| Group Practice Pac Id | 0345157103 |
| Number Of Group Practice Members | 656 |
| Line 1 Street Address | 4500 S PRINCE OF PEACE PL |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 571035830 |
| Phone Number | 6053225600 |
| Hospital Affiliation Ccn 1 | 430016 |
| Hospital Affiliation Lbn 1 | AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER |
| Hospital Affiliation Ccn 2 | 240022 |
| Hospital Affiliation Lbn 2 | SANFORD MEDICAL CENTER WORTHINGTON |
| Hospital Affiliation Ccn 3 | |
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| Professional Accepts Medicare Assignment | Y |
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