Phillip Tyler Fuller, M.D.

NPI #1871720300 in Ada, Oklahoma

Provider Information

NPI Number: 1871720300
Entity Type: Individual
Name: Phillip Tyler Fuller, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology
Credential: M.D.
Enumeration Date: Jun 11, 2009
Last Updated: Jun 25, 2014

Practice Location

Address: 1414 ARLINGTON STREET
Address 2: SUITE 2300
City: Ada
State: Oklahoma
ZIP Code: 74820
Phone: (580) 332-0112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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