Chuck Fuller, PA-C

NPI 1124015102 · on the registry since 2005

Practice

Address: 660 Shoshone St E
Suite 130
Twin Falls, ID 83301
Phone: (208) 732-3400
Fax: (208) 732-3300
Organisation at this address: Donald G Pica Md Pa
Snake River Urology, P.C.
John L. Shuss, M.D., P.L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-01-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho