Alen Munson Fuller, M.D.

NPI #1164422408 in Tulsa, Oklahoma

Provider Information

NPI Number: 1164422408
Entity Type: Individual
Name: Alen Munson Fuller, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Otolaryngology
Credential: M.D.
Enumeration Date: Jul 28, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 1725 E 19TH ST
Address 2: SUITE 100
City: Tulsa
State: Oklahoma
ZIP Code: 74104-5437
Phone: (918) 742-7376

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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