| NPI | 1528775582 |
|---|---|
| Doing Business As | FULLER HEALTH CARE |
| Entity Type | Organization |
| Authorized Contact | BOBBI FULLER Owner 208-740-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2022-10-31 |