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Coy Fullen, DO
NPI 1902967243 · on the registry since 2006
Practice
- Address
- 427 N 12th St
Plummer, ID 83851 - Phone
- (208) 686-1931
- Fax
- (208) 686-5133
- Organisation at this address
- Benewah Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Also registered as
- Family Medicine Physician
- Licence states on file
- WA, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-05-16
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