NPI 1164422408

Alen Munson Fuller, MD

Practitioner Otolaryngology Physician Tulsa, OK

Practice location

Address: 1725 E 19th St Suite 100, Tulsa, OK 74104-5437
Phone: (918) 742-7376
Fax: (918) 743-2117

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 7801 (OK)

Other Otolaryngology providers in Oklahoma →

Registry record

NPI: 1164422408
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2005
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.