IndividualActive
Timothy Fullam, M.D.
NPI 1952720104 · Neuromuscular Medicine (Psychiatry & Neurology) Physician · Phoenix, AZ
Provider details
- NPI number
- 1952720104
- Entity type
- Individual
- Primary specialty
- Neuromuscular Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- T1068 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
240 W Thomas Rd # 400
Phoenix, AZ 85013-4407
Phone: (602) 406-6262
Fax: (602) 406-6261
Approximate (ZIP-level) locationGet directions
Mailing address
240 W Thomas Rd Ste 301
Phoenix, AZ 85013-4407
Additional practice locations (2)
- 301 Fisher Street81 Mdos/SgomuKeesler Afb, MS 39564Phone: (228) 376-5378Fax: (228) 376-0581
- 3551 Roger Brooke DrJbsa Ft Sam Houston, TX 78234-4504Phone: (210) 916-2203Fax: (210) 916-2203
Registry dates
- Enumerated
- 2014-04-15
- Last updated
- 2025-02-05
- Certified
- 2025-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.