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Dr. Timothy Richard Fullam, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician in Phoenix, Arizona
NPI 1952720104

Timothy Richard Fullam is a Neuromuscular Medicine (Psychiatry & Neurology) Physician based in Phoenix, AZ and is specialized in Neuromuscular Medicine. Timothy Richard Fullam practices in Phoenix, AZ and has the professional credentials of MD. The NPI Number for Timothy Richard Fullam is 1952720104 and holds a License No. T1068 (Arizona).

The current practice location address for Timothy Richard Fullam is 240 W Thomas Rd # 400, Phoenix, AZ and can be reached out via phone at 602-406-6262 and via fax at 602-406-6261.

Location: 240 W Thomas Rd # 400, Phoenix, AZ, 85013-4407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952720104
Provider Name
Timothy Richard Fullam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 W Thomas Rd # 400, Phoenix, AZ, 85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6261
Provider Enumeration Date
04/15/2014
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
240 W Thomas Rd # 400
City
Phoenix
State
Arizona
Zip
85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6261
person
Provider Business Mailing Address Details
Address
240 W Thomas Rd # 400
City
Phoenix
State
Arizona
Zip
85013-4407
Phone Number
602-406-6262
Fax Number
602-406-6261
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
28833 (Nebraska)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
T1068 (Texas)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
T1068 (Texas)
Definition
Definition to come...
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