Phillip Tyler Fuller, MD
Phillip Tyler Fuller, MD is an Urology in Ada, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2009, 17 years ago. Practices with Chickasaw Nation Division of Health, a 243-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 17
- Trained at
- University of Oklahoma College of Medicine
- Licensed in
- OK
- In the registry since
- 2009
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1414 Arlington St Ste 2300Ada, OK 74820
Phone: (580) 332-0112
Fax: (580) 332-1005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 30483 (OK) |
|---|
Record details
| NPI number | 1871720300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 11, 2009 |
| Last updated in NPPES | June 25, 2014 |
| Mailing address | 1414 Arlington Street, Suite 2300, Ada, OK 74820 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduated | 2009 (17 years in practice) |
| Group practice | Chickasaw Nation Division Of Health — 243 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |