Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COY FULLEN, DO
ActiveCOY FULLEN, DO is a Family Medicine healthcare provider located in PLUMMER, Idaho. NPI 1902967243 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PLUMMER, ID
Registration Details
- NPI Number
- 1902967243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 12, 2006 (19.524867742361 yrs)
- Last Updated
- May 16, 2018
- Licenses
-
BF4836978 (WA)O-0589 (ID)
Practice Information
- Address
-
427 N 12TH STPLUMMER, ID, 83851Browse ID providers · Browse ZIP 83851
- Phone
- 2086861931
- Fax
- 2086865133
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PLUMMER, ID
| Name | Credential | NPI |
|---|---|---|
| DR. TERRY R REISNER | MD | 1295720779 |
| MARY ELIZABETH BARINAGA | MD | 1801882881 |
| DR. MARILOU MARCELO GONZALEZ | M.D. | 1376863712 |
| DR. KATE AGUIRRE | M.D. | 1275911356 |
| RACHEL CHISAUSKY | DO | 1134765910 |
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.