National Provider Identifier Database

PHILLIP T FULLER, MD – NPI #1871720300
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


Contact Information

PHILLIP T FULLER, MD
1414 ARLINGTON STREET
SUITE 2300
ADA, OK74820
Phone: 580-332-0112
Fax: 580-332-1005
Website:
Specialty Taxonomy Code
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for PHILLIP T FULLER

NPI Number 1871720300
Credentials MD
Entity Individual
Enumeration date 06/11/2009
Last updated 06/25/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 30483
Hospital affiliation n/a

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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