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DR. TIMOTHY RICHARD FULLAM M.D.

M.D.

Neuromuscular Medicine (Psychiatry & Neurology) Physician

NPI: 1952720104IndividualAccepts Medicare

Specialties, Licenses & Credentials

Neuromuscular Medicine (Psychiatry & Neurology) PhysicianPrimary

Psychiatry & Neurology — Neuromuscular Medicine

Code: 2084N0008X

T1068(TX)73815(AZ)
Neurology Physician

Psychiatry & Neurology — Neurology

Code: 2084N0400X

T1068(TX)
General Practice Physician

General Practice

Code: 208D00000X

28833(NE)

Education

PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE

Class of 2014

Contact & Hours

Via practice · 3 locations total

Address
301 Fisher Street, 81 MDOS/SGOMU
Keesler AFB, MS 39564
Practice locations map

Locations (3)

Practice Location

301 Fisher Street, Keesler AFB, MS
(228) 376-5378

Practice Location

240 W THOMAS RD # 400, PHOENIX, AZ
(602) 406-6262

Practice Location

3551 ROGER BROOKE DR, SAN ANTONIO, TX
(210) 916-2203

Quick Facts

NPI
1952720104
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
4
Locations
3
Years in Practice
12

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