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NPI Verification

National Provider Identifier: 1871720300

Phillip Tyler Fuller, M.d.

Individual Provider

Credentials

M.D.

Primary Specialty

Urology

Code: 208800000X

Practice Address

1414 ARLINGTON STREET

SUITE 2300

ADA, OK 74820

Phone: 580-332-0112

NPI Enumeration Date

June 11, 2009

NPI Number

1871720300

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry