CHUCK B FULLER

TWIN FALLS, ID
NPI1124015102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ID  PA-499)
Enumeration Date2005-10-04
Last Update Date2008-01-10
Business Address
-- CHUCK B FULLER PA-C
660 SHOSHONE ST E SUITE 130
TWIN FALLS, ID 83301-6110
Phone number: 208-732-3400
Mailing Address
-- CHUCK B FULLER PA-C
660 SHOSHONE ST E SUITE 130
TWIN FALLS, ID 83301-6110
Phone number: 208-732-3400
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