Coy Fullen, DO

NPI #1902967243 in Plummer, Idaho

Provider Information

NPI Number: 1902967243
Entity Type: Individual
Name: Coy Fullen, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: DO
Enumeration Date: Dec 12, 2006
Last Updated: May 16, 2018

Practice Location

Address: 427 N 12TH ST
City: Plummer
State: Idaho
ZIP Code: 83851
Phone: (208) 686-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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