Individual
PETER FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1507
Mailing address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1507
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
60380
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2017
Last updated
05/06/2021
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