Search › Arizona › 2084N0008X
Timothy Fullam, M.D
NPI 1952720104 · on the registry since 2014
Practice
- Address
- 240 W Thomas Rd # 400
Phoenix, AZ 85013 - Phone
- (602) 406-6262
- Fax
- (602) 406-6261
- Clinicians at this address
- 13
Additional practice sites
- 301 Fisher Street, Keesler Afb, MS
- 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX
Registry record
- Primary taxonomy
- 2084N0008X
2084N0008X
- Also registered as
- 2084N0008X
2084N0400X
208D00000X - Licence states on file
- TX, NE, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona