Codi Fuller, D.C.

NPI #1093102428 in Lewiston, Idaho

Provider Information

NPI Number: 1093102428
Entity Type: Individual
Name: Codi Fuller, D.C.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Apr 23, 2015
Last Updated: Jul 31, 2016

Practice Location

Address: 30207 ROSENKRANTZ RD
City: Lewiston
State: Idaho
ZIP Code: 83501-5229
Phone: (208) 691-8647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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