Coy Fullen, DO | |
427 N 12th St, Plummer, ID 83851 | |
(208) 686-1931 | |
(208) 686-5133 |
Full Name | Coy Fullen |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 427 N 12th St, Plummer, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902967243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | BF4836978 (Washington) | Secondary |
207Q00000X | Family Medicine | O-0589 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Coy Fullen, DO Po Box 388, Plummer, ID 83851-0388 Ph: (208) 686-1931 | Coy Fullen, DO 427 N 12th St, Plummer, ID 83851 Ph: (208) 686-1931 |
Rachel Chisausky, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 427 12th St, Plummer, ID 83851 Phone: 208-686-1931 | |
Dr. Terry R Reisner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 427 N 12th, Plummer, ID 83851 Phone: 208-686-1931 | |
Dr. Marilou Marcelo Gonzalez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: Mairmn Health, 427 N. 12th Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-5133 | |
Mary Elizabeth Barinaga, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1115 B Street, Plummer, ID 83851 Phone: 208-686-1931 Fax: 208-686-0242 |