RONALD W FULLER

RADIOLOGY GROUP, P.C., S.C.

Dr RONALD W FULLER is a male medical professional, specializing in Diagnostic Radiology. He graduated in 1995 from University Of Iowa College Of Medicine.

Contact

RADIOLOGY GROUP, P.C., S.C.

409 NW 9TH AVE
ALEDO
IL
612311258

Tel: 3095682530

RONALD W FULLER Information

Npi 1932169893
Pac Id 7810077393
Professional Enrollment Id I20080703000322
Last Name FULLER
First Name RONALD
Middle Name W
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF IOWA COLLEGE OF MEDICINE
Graduation Year 1995
Primary Specialty DIAGNOSTIC RADIOLOGY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name RADIOLOGY GROUP, P.C., S.C.
Group Practice Pac Id 9032008537
Number Of Group Practice Members 17
Line 1 Street Address 409 NW 9TH AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ALEDO
State IL
Zip Code 612311258
Phone Number 3095682530
Hospital Affiliation Ccn 1 160033
Hospital Affiliation Lbn 1 GENESIS MEDICAL CENTER-DAVENPORT
Hospital Affiliation Ccn 2 140275
Hospital Affiliation Lbn 2 GENESIS HLTH SYSTEM DBA GENESIS MDL CTR-ILLINI
Hospital Affiliation Ccn 3 161313
Hospital Affiliation Lbn 3 GENESIS MEDICAL CENTER-DEWITT
Hospital Affiliation Ccn 4 141304
Hospital Affiliation Lbn 4 GENESIS MEDICAL CENTER, ALEDO
Hospital Affiliation Ccn 5 140280
Hospital Affiliation Lbn 5 TRINITY - ROCK ISLAND
Professional Accepts Medicare Assignment Y

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