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Declan Fulton

NPI 1083436174 · on the registry since 2024 · sole proprietor

Practice

Address
2151 Az-92
106
Sierra Vista, AZ 85635
Phone
(520) 335-1615
Clinicians at this address
2

Registry record

Primary taxonomy
208100000X
208100000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-10-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona