Search Results
Last Update: Wednesday, May 1, 2024 7:03 PM CDT
Next Update: Thursday, May 2, 2024 2:50 AM CDT
Return to Search Licensees page
FULLER, PHILLIP TYLER 
|
| Practice Address: |
1921 STONECIPHER BLVD
ADA OK 74820
Address last updated on 3/21/2024 |
| Phone #: |
(580) 421-4531 |
| Fax #: |
|
| County: |
PONTOTOC |
| License: |
30483 |
| Dated: |
3/6/2014 |
| Expires: |
3/1/2025 |
| License Type: |
Medical Doctor |
| Specialty: |
Urology |
|
| Status: |
Active |
| Status Class: |
Fully Licensed |
| Restricted to: |
|
| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
5 /
2009 |
| CME Year: |
2026 |
|
|
Pending and/or Past Disciplinary Actions:
No Disciplinary Action Taken.
|
|
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
|
| Certifications: |
AMERICAN BOARD OF UROLOGY |
| New Patients: |
Yes |
| Medicaid: |
Yes |
| Medicare: |
Yes |
| |
|
| HMO/PPO: |
None listed |
| Hospital Privileges: |
Chickasaw Nation Medical Ctr (fmly Carl Albert Indian Health Facility-IHS)
Ada, OK
|
|
| Locations: |
Hours: |
Languages: |
1921 STONECIPHER BLVD
ADA OK 74820
Phone #:
(580) 421-4531
Fax #:
|
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 12:00PM
Sat:
Sun: |
|
|
|
|
Return to Search Licensees page
