Dr. Colin Wyatt Fuller
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
800 Stanton L Young Blvd # 1400
Oklahoma City
, Oklahoma 73104-5018
Dr. Colin Wyatt Fuller
Otolaryngologist (ENT Doctor) Pediatric Otolaryngology
800 Stanton L Young Blvd # 1400
Oklahoma City
, Oklahoma 73104-5018
(405) 271-5504
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Colin Wyatt Fuller
- 800 Stanton L Young Blvd
- Oklahoma City, OK
- Zip : 73104-5018
- Phone : (405) 271-5504
Second Address
- Dr. Colin Wyatt Fuller
- 800 Stanton L Young Blvd # 1400
- Oklahoma City, OK
- Zip : 73104-5018
- Phone : (405) 271-5504
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Y00000X | Otolaryngologist (ENT Doctor) | 6781 | GA |
| Y | 207YP0228X | Pediatric Otolaryngology | 67805 | OK |
National Provider Identifier
| NPI | 1922413343 |
|---|---|
| Provider Name | Dr. Colin Wyatt Fuller |
| First Address | Oklahoma City, OK 73104-5018 |
| Second Address | Oklahoma City, OK 73104-5018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/06/2014 |
| Last Update Date | 09/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.