Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP TYLER FULLER, M.D.
ActivePHILLIP TYLER FULLER, M.D. is a Urology healthcare provider located in ADA, Oklahoma. NPI 1871720300 is currently active in the NPPES registry. Verify at CMS.
Urology · ADA, OK
Registration Details
- NPI Number
- 1871720300
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2009 (17.193652187801 yrs)
- Last Updated
- Jun 25, 2014
- License
-
30483 (OK)
Practice Information
- Address
-
1414 ARLINGTON STREETSUITE 2300ADA, OK, 74820Browse OK providers · Browse ZIP 74820
- Phone
- 5803320112
- Fax
- 5803321005
- Primary Specialty
-
Urology
208800000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.