Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHUCK B FULLER, PA-C
ActivePhysician Assistant · TWIN FALLS, ID
Registration Details
- NPI Number
- 1124015102
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.546006221068 yrs)
- Last Updated
- Jan 10, 2008
- License
-
PA-499 (ID)
Practice Information
- Address
-
660 SHOSHONE ST ESUITE 130TWIN FALLS, ID, 833016110Browse ID providers · Browse ZIP 83301
- Phone
- 2087323400
- Fax
- 2087323300
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TWIN FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| WINSTON N PETERSEN | PA-C | 1194714717 |
| JEREMY DAVID WILLES | PAC | 1356314843 |
| BRIAN KEITH BIZIK | P.A. | 1932166956 |
| NEELIE BERLIN WILLIS | PA-C | 1477590958 |
| NICHOLAS J PERIUS | PA | 1154363000 |
| SCOTT D SCHRADER | P.A. | 1740223148 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.