Robert Lee Fuller JR. M.D.

NPI 1629036280 - Family Medicine - 207Q00000X

NPI Details
NPI 1629036280
Gender Male
Enumeration Date 05/03/2006
Last Updated 02/13/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1224 WASHINGTON AVE
SUITE 201
SANDPOINT ID, 83864, US
Phone (208) 304-4969
Fax (208) 263-8282
Business Location
1224 WASHINGTON AVE
SUITE 201
SANDPOINT ID, 83864, US
Phone (208) 304-4969
Fax (208) 263-8282
Toxanomy
Taxonomy Code 207Q00000X
License State Idaho
License Number M9052
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According to our database, Robert Lee Fuller JR. M.D. NPI is 1629036280, taxonomy code is 207Q00000X and license number is M9052, license state is located at Idaho. Robert Lee Fuller JR. M.D. physically located at 1224 Washington Ave, Sandpoint ID, 83864. NPI Number Robert Lee Fuller JR. M.D. has the Individual type.

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1629036280 NPI number is provided on an as is basis without warranty of any kind. 1629036280 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Lee Fuller JR. M.D. are for informational purposes only.