Individual
DR. TIMOTHY RICHARD FULLAM
Active
Individual
DR. TIMOTHY RICHARD FULLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
73815
AZ
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
T1068
TX
2084N0400X
Neurology Physician
T1068
TX
208D00000X
General Practice Physician
28833
NE
Other
Enumeration date
04/15/2014
Last updated
02/05/2025
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