Individual
DR. THOMAS WILLIAM FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1100 9TH AVE, M4-PFS, SEATTLE, WA 98101-2756
(206) 223-6600
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
A155264
CA
208800000X
Urology Physician
Primary
MD60938684
WA
Other
Enumeration date
06/12/2012
Last updated
09/24/2019
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