TIMOTHY RICHARD FULLAM

PHOENIX, AZ
NPI1952720104
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0008X Psychiatry & Neurology, Neuromuscular Medicine
(Licence: AZ  73815)
Additional Taxonomies2084N0008X Psychiatry & Neurology, Neuromuscular Medicine
(Licence: TX  T1068)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX  T1068)
208D00000X General Practice
(Licence: NE  28833)
Enumeration Date2014-04-15
Last Update Date2025-02-05
Business Address
Dr. TIMOTHY RICHARD FULLAM M.D.
240 W THOMAS RD # 400
PHOENIX, AZ 85013-4407
Phone number: 602-406-6262
Mailing Address
Dr. TIMOTHY RICHARD FULLAM M.D.
240 W THOMAS RD STE 301
PHOENIX, AZ 85013-4407
Phone number: 602-406-6262