Organization
TULSA OTOLARYNGOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEN MUNSON FULLER MD (OWNER)
(918) 742-7376
Entity
Organization
Contact information
Practice address
1725 E 19TH ST, SUITE 100, TULSA, OK 74104-5437
(918) 742-7376
(918) 743-2117
Mailing address
1725 E 19TH ST, SUITE 100, TULSA, OK 74104-5437
(918) 742-7376
(918) 743-2117
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
7801
OK
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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