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NPI Profile for Dr TIMOTHY R FULLAM in PHOENIX, AZ.
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neuromuscular Medicine |
2084N0008X | 86 | Physician/Neuropsychiatry | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Neurology |
2084N0400X | 13 | Physician/Neurology |
| NPI Number | 1952720104 |
|
| Status | Active | |
| Credentials | MD | |
| Entity | Individual | |
| Enumeration date | 04/15/2014 | |
| Last updated | 02/05/2025 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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TIMOTHY R FULLAM
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TIMOTHY R FULLAM, MD