Search › Idaho › 207W00000X
Joshua Fullmer, M.D
NPI 1447301395 · on the registry since 2007
Practice
- Address
- 23 Sawtelle Ave Ste 102
Rexburg, ID 83440 - Phone
- (208) 359-1888
- Fax
- (208) 359-1889
- Organisation at this address
- Henrys Fork Surgery Center Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207W00000X
207W00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-12
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