OrganizationActive
Joshua R Fullmer MD PLLC
NPI 1881894517 · Ophthalmology Physician · Rexburg, ID
Provider details
- NPI number
- 1881894517
- Entity type
- Organization
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Suzzette Thatcher, Business Manager(208) 359-1888
- License
- M-9786 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
381 E 4th N Ste 100
Rexburg, ID 83440-1684
Phone: (208) 359-1888
Approximate (ZIP-level) locationGet directions
Mailing address
381 E 4th N Ste 100
Rexburg, ID 83440-1684
Registry dates
- Enumerated
- 2007-07-20
- Last updated
- 2007-07-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.