person
Chuck B Fuller, PA-C
Physician Assistant in Twin Falls, Idaho
NPI 1124015102

Chuck B Fuller is a Physician Assistant based in Twin Falls, ID. Chuck B Fuller practices in Twin Falls, ID and has the professional credentials of PA-C. The NPI Number for Chuck B Fuller is 1124015102 and holds a License No. PA-499 (Idaho).

The current practice location address for Chuck B Fuller is 660 Shoshone St E, Twin Falls, ID and can be reached out via phone at 208-732-3400 and via fax at 208-732-3300.

Location: 660 Shoshone St E, Twin Falls, ID, 83301-6110
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Provider Profile Details
NPI Number
1124015102
Provider Name
Chuck B Fuller
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
660 Shoshone St E, Twin Falls, ID, 83301-6110
Phone Number
208-732-3400
Fax Number
208-732-3300
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000010147741 01 ID REGENCE BLUE SHIELD IND #
PAQR4 01 ID BLUE CROSS IND #
institution
Provider Business Practice Location Address Details
Address
660 Shoshone St E
City
State
Zip
83301-6110
Phone Number
208-732-3400
Fax Number
208-732-3300
person
Provider Business Mailing Address Details
Address
660 Shoshone St E
City
State
Zip
83301-6110
Phone Number
208-732-3400
Fax Number
208-732-3300
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
PA-499 (Idaho)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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