Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Declan Fulton

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1083436174

Declan Fulton is a Physical Medicine & Rehabilitation Physician in Sierra Vista, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

2151 AZ-92 106
Sierra Vista, AZ 85635
Phone: (520) 335-1615
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 013788 (AZ)

Record details

NPI number1083436174
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 23, 2024

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