Collin Andrew Fuqua

NPI #1225768252 in Pocatello, Idaho

Provider Information

NPI Number
1225768252
Entity Type
Individual
Name
Collin Andrew Fuqua
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Enumeration Date
Jun 13, 2022
Last Updated
Apr 3, 2024

Practice Location

Address
921 S 8TH AVE STOP 8253
State
Idaho
ZIP Code
83209-0002
Phone
(208) 282-4726

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Physician Assistant

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