FULLER, COLIN WYATT - Licensee Information

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Last Update: Sunday, November 17, 2024 1:13 PM CST
Next Update: Sunday, November 17, 2024 4:30 PM CST

FULLER, COLIN WYATT

Practice Address:	OU HEALTH PARTNERS INC 1200 CHILDRENS AVE OKLAHOMA CITY OK 73104 Address last updated on 2/7/2024
Phone #:	(405) 571-4700
Fax #:
County:	OKLAHOMA
License:	37805
Dated:	3/9/2021
Expires:	3/1/2025
License Type:	Medical Doctor
Specialty:	Otolaryngology

Status:	Active
Status Class:	Fully Licensed
Restricted to:
Registered to Dispense:	NO
Medical School:	TX A & M UNIV SYS HSC, COLL OF MED, COLLEGE STATION TX 77843
Graduated:	5 / 2013
CME Year:	2027

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 OTOLARYNGOLOGY AMERICAN BOARD OF OTOLARYNGOLOGY - Pediatric Otolaryngology
New Patients:	Contact licensee
Medicaid:	Contact licensee
Medicare:	Contact licensee

HMO/PPO:	None listed
Hospital Privileges:	OU Health Medical Center Oklahoma City, OK

Locations:	Hours:	Languages:
OU HEALTH PARTNERS INC 1200 CHILDRENS AVE OKLAHOMA CITY OK 73104 Phone #: (405) 571-4700 Fax #:	Mon: 8:00AM - 5:00PM Tue: 8:00AM - 5:00PM Wed: 8:00AM - 5:00PM Thu: 8:00AM - 5:00PM Fri: 8:00AM - 5:00PM Sat: Sun:

Name:	Type:	License Number:
Primary Supervisees(s):
STEPHANIE MARIE NOEL	PA	1710
VALERIE ANN STOCKTON	PA	839