CHUCK FULLER, PA-C
Physician Assistant
Active
Individual
NPI: 1124015102
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA-499 (ID) |
Frequently Asked Questions
NPI 1124015102 is the National Provider Identifier for CHUCK FULLER, PA-C, a Physician Assistant provider located in Twin Falls, ID. This NPI was enumerated on October 4, 2005.
CHUCK FULLER, PA-C practices at 660 SHOSHONE ST E, SUITE 130, Twin Falls, ID 83301.
Quick Facts
- NPI
- 1124015102
- Type
- Individual
- Enumerated
- Oct 4, 2005
- Last Updated
- Jan 10, 2008
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ADDISON SURGERY CENTER
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IDAHO HOME HEALTH & HOSPICE, INC.
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MAGIC VALLEY REGIONAL MEDICAL CENTER
General Acute Care Hospital