Individual
MR. GERALD LEE FITZGERALD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NAVY IDC
Contact information
Practice address
SURFACE WARFARE MEDICINE INSTITUTE, 3401 FARENHOLT AVENUE, SAN DIEGO, CA 92134-0001
(808) 375-1486
(619) 532-5156
Mailing address
SURFACE WARFARE MEDICINE INSTITUTE, 3401 FARENHOLT AVENUE, SAN DIEGO, CA 92134-0001
(808) 375-1486
(619) 532-5156
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/23/2008
Last updated
01/26/2010
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