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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Thursday, September 26, 2024 6:51 PM CDT
Next Update: Friday, September 27, 2024 2:50 AM CDT

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FULLER, ALEN MUNSON       
Practice Address: 1725 E 19TH ST #100
TULSA OK 74104-+542

Address last updated on 4/3/2024
Phone #: (918) 742-7376
Fax #: (918) 743-2117
County: TULSA
License: 7801
Dated: 6/1/1961
Expires: 6/1/2025
License Type: Medical Doctor
Specialty: Otolaryngology
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: / 1961
CME Year: 2025
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
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
CIGNA PPO
CompMed
Coventry Health Care National Network
First Health
HealthChoice
Humana ChoiceCare
Humana Medicare Advantage PPO
Humana Tricare/PGBA
Medicare Blue
OSMA Health (formerly Plico PPO)
PHCS (Private Healthcare Systems)
PPO USA
Preferred Community Choice
Preferred Health Network-ppoNEXT
Private Healthcare Systems (PHCS)
Railroad Medicare
Secure Horizons HMO
Tricare for Life
United Healthcare EPO
United Healthcare Options PPO
United Healthcare POS
Hospital Privileges: Ascension St. John Medical Center
Tulsa, OK
Hillcrest Hospital South (fmly SouthCrest)
Tulsa, OK
Locations: Hours: Languages:
1725 E 19TH ST #100
TULSA OK 74104-+542

Phone #: (918) 742-7376
Fax #: (918) 743-2117
Mon: 9:30AM - 3:00PM
Tue: 9:30AM - 3:00PM
Wed: 9:30AM - 3:00PM
Thu: 9:30AM - 3:00PM
Fri: 9:30AM - 12:00PM
Sat:
Sun:

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