Whalio Doctors

NPI 1053627216

Tammy Sue Fouse, DO

Practitioner Surgery Physician Pocatello, ID

Practice location

Address
2486 Cimmaron Cir, Pocatello, ID 83204-7346
Phone
(440) 258-0073
Mailing address
59 Kauffmans Crk, Clinton, OH 44216-8657

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 58003533 (OH)

Registry record

NPI
1053627216
Entity type
Individual
Sex (as registered)
Female
NPI issued
26 Aug 2010
Record last updated
28 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.