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

Mr. Sidney J. Fuller, CCP

Individual provider Contractor · NPI 1386786853

Mr. Sidney J. Fuller, CCP is a Contractor in Tucson, Arizona. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
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Practice location Address checks out

6200 N La Cholla Blvd Northwest Medical Ctr
Tucson, AZ 85741
Phone: (520) 742-9000
Fax: (520) 469-8591
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Perfusionist (primary) Taxonomy 242T00000X
Contractor Taxonomy 171W00000X

Record details

NPI number1386786853
Entity typeIndividual (Type 1)
GenderMale
Credentials CCP
Sole proprietorNo
NPI enumeratedFebruary 13, 2007
Last updated in NPPESDecember 16, 2010

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