| Ms Carolyn Starr Fullmer, PAC | |
|
410 E King St, Chewelah, WA 99109-0137 | |
| (509) 935-8711 | |
| (509) 935-4882 |
| Full Name | Ms Carolyn Starr Fullmer |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 410 E King St, Chewelah, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275686669 | NPI | - | NPPES |
| 8511230 | Medicaid | WA | |
| 0159376 | Other | WA | WA STATE L&I |
| PA10003285 | Other | WA | WA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003285 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carolyn Starr Fullmer, PAC Po Box 137, Chewelah, WA 99109-0137 Ph: (509) 935-8711 | Ms Carolyn Starr Fullmer, PAC 410 E King St, Chewelah, WA 99109-0137 Ph: (509) 935-8711 |
Nellie Lucille Boone, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 E Webster Ave, Chewelah, WA 99109 Phone: 509-935-8211 Fax: 509-935-5257 | |
Ms. Ann Margaret Putman, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 | |
Michael S Patterson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 W Webster, Chewelah, WA 99109 Phone: 509-935-8211 | |
Bryan Kim Dority, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-6004 | |
Mr. Michael R Dunniway, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 518 E Clay Ave, Chewelah, WA 99109 Phone: 509-935-8424 Fax: 509-935-8402 |