Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COLLIN ANDREW FUQUA
ActiveCOLLIN ANDREW FUQUA is a Physician Assistant healthcare provider located in POCATELLO, Idaho. NPI 1225768252 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · POCATELLO, ID
Registration Details
- NPI Number
- 1225768252
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2022 (4.1536967402578 yrs)
- Last Updated
- Apr 3, 2024
Practice Information
- Address
-
921 S 8TH AVE STOP 8253POCATELLO, ID, 832090002Browse ID providers · Browse ZIP 83209
- Phone
- 2082824726
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MR. WALTER A STEIN | PA | 1457352734 |
| MATTHEW L MCKINLAY | PA-C | 1851385538 |
| LANA BORGHOLTHAUS | PA | 1255315974 |
| STEVEN BOE SIMMONS | PA-C | 1740212190 |
| JEFFREY SLAVICH | P.A. | 1780694000 |
| LESLIE D CONNER | PA | 1851302046 |
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.