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Contact Information

COLIN W FULLER, MD
800 STANTON L YOUNG BLVD # 1400
OKLAHOMA CITY, OK73104-5018
 Phone: 405-271-5504
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for COLIN W FULLER · (Male)

NPI # 1922413343
Status Active
Credentials MD
Entity Individual
Enumeration date 06/24/2014
Last updated 11/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 6781
  • OK License # 67805
Hospital affiliation(s)
  • O U MEDICAL CENTER - (Acute Care)
    1200 EVERETT DRIVE
    OKLAHOMA CITY, OK 73104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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