Joshua R Fullmer MD Pllc

NPI #1881894517 in Rexburg, Idaho

Provider Information

NPI Number: 1881894517
Entity Type: Organization
Organization Name: Joshua R Fullmer MD Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jul 20, 2007
Last Updated: Jul 20, 2007

Practice Location

Address: 381 E 4TH N STE 100
City: Rexburg
State: Idaho
ZIP Code: 83440-1684
Phone: (208) 359-1888

Authorized Official

Name: SUZZETTE THATCHER
Title: BUSINESS MANAGER
Phone: (208) 359-1888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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