Fuller, Colin Wyatt

Fuller, Colin Wyatt is an individual health care provider with primary practice located at 800 Stanton L Young Blvd # 1400 , Oklahoma City OK 73104-5018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Fuller, Colin Wyatt can be contacted via phone (405) 271-5504.

Contact Information

Primary practice address
800 Stanton L Young Blvd # 1400 Oklahoma City OK 73104-5018
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 6781 Georgia
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 67805 Oklahoma

Profile Details

NPI number 1922413343
LBN Legal business name Fuller, Colin Wyatt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2014
Last updated Nov 9th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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