Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRIAN C FULKS, MD
ActivePediatrics · POCATELLO, ID
Registration Details
- NPI Number
- 1730367517
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2008 (18.226826233614 yrs)
- Last Updated
- Mar 17, 2025
- License
-
M-10672 (ID)
Practice Information
- Address
-
1151 HOSPITAL WAYBLDG FPOCATELLO, ID, 83201Browse ID providers · Browse ZIP 83201
- Phone
- 2082321443
- Fax
- 2082393434
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| MATTHEW A STELZER | MD | 1609844471 |
| DR. GREGORY DANIEL KOSTUR | M.D. | 1447316799 |
| DR. SHAUN STEPHEN SUMMERILL | M.D. | 1497807044 |
| LAURA M DUTY | M.D. | 1992950802 |
| ALISON MARIE MCINTURFF | M.D. | 1346507845 |
| DAVID J LARSEN | M.D. | 1932527827 |
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.