COY FULLEN, DO

Family Medicine

Active Individual
NPI: 1902967243

Practice Address

427 N 12TH ST
Plummer, ID 83851

Phone: (208) 686-1931

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes O-0589 (ID)

Frequently Asked Questions

NPI 1902967243 is the National Provider Identifier for COY FULLEN, DO, a Family Medicine provider located in Plummer, ID. This NPI was enumerated on December 12, 2006.
COY FULLEN, DO practices at 427 N 12TH ST, Plummer, ID 83851.

Quick Facts

NPI
1902967243
Type
Individual
Enumerated
Dec 12, 2006
Last Updated
May 16, 2018

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