Individual
MR. SIDNEY J. FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
6200 N. LA CHOLLA BLVD., NORTHWEST MEDICAL CENTER, TUCSON, AZ 85741
(520) 742-9000
(520) 469-8591
Mailing address
2251 N. INDIAN RUINS ST. C, PALO VERDE PERFUSION, TUCSON, AZ 85715
(520) 885-8800
(520) 885-2000
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
242T00000X
Perfusionist
Primary
—
—
Other
Enumeration date
02/13/2007
Last updated
12/16/2010
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