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NPI Code Detail

MEDICARE: SIDNEY FOURNIER DO

MEDICARE: SIDNEY FOURNIER DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician254349AK

General Provider Information

NPI Number : 1851238562
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIDNEY FOURNIER DO
Provider Business Mailing Address
First Line : PO BOX 31001-4162
Second Line :
City : PASADENA
State : CA
Zip : 91110-4162
Country : US
Telephone Number : 866-747-2455
Fax Number :
Provider Business Practice Location Address
First Line : 1201 E 36TH AVE
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-4372
Country : US
Telephone Number : 907-562-9229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2026
Last Update Date : 06/02/2026

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Directions to “ SIDNEY FOURNIER DO” Practice Location

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