Fullam, Timothy Richard

Fullam, Timothy Richard is an individual health care provider with primary practice located at 240 W Thomas Rd # 400 , Phoenix AZ 85013-4407. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Neuromuscular Medicine is his primary health care specialty. Fullam, Timothy Richard can be contacted via phone (602) 406-6262.

Contact Information

Primary practice address
240 W Thomas Rd # 400 Phoenix AZ 85013-4407
Phone: (602) 406-6262
Fax: (602) 406-6261
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X T1068 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X T1068 Texas
Allopathic & Osteopathic Physicians / General Practice 208D00000X 28833 Nebraska
Allopathic & Osteopathic Physicians / Neuromuscular Medicine 2084N0008X 73815 Arizona

Profile Details

NPI number 1952720104
LBN Legal business name Fullam, Timothy Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2014
Last updated Feb 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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