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Individual

DECLAN FULTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2151 AZ-92, 106, SIERRA VISTA, AZ 85635
(520) 335-1615
Mailing address
2938 N 61ST PL UNIT 108, SCOTTSDALE, AZ 85251-7030

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
013788
AZ

Other

Enumeration date
10/29/2024
Last updated
10/29/2024
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