| Dr Rebecca L Fulton, MD | |
|
415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 | |
| (208) 746-0516 | |
| (208) 746-4989 |
| Full Name | Dr Rebecca L Fulton |
|---|---|
| Gender | Female |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 415 6th St, Lewiston, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093996365 | NPI | - | NPPES |
| 002335700 | Medicaid | ID | |
| 002335400 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-11363 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Rebecca L Fulton, MD 415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 Ph: (208) 746-0516 | Dr Rebecca L Fulton, MD 415 6th St, Pathologists' Regional Laboratory, Lewiston, ID 83501-2431 Ph: (208) 746-0516 |
Dr. Kim Janet Wilson, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-746-0516 Fax: 208-746-4989 | |
Dr. Robert William Cihak, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Pathologists Regional Laboratory, Lewiston, ID 83501 Phone: 208-746-0516 | |
Dr. Alan Clifton Peterson, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-746-0516 Fax: 208-746-4989 |