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COLLIN FUQUA
Physician Assistant
NPI: 1225768252IndividualAccepts Medicare
Specialties, Licenses & Credentials
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 921 S 8TH AVE STOP 8253
POCATELLO, ID 83209 - Phone
- (208) 282-4726
Quick Facts
- NPI
- 1225768252
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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