Individual
DR. MARIKO FITZGIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
1333 S MAYFLOWER AVE FL 2, MONROVIA, CA 91016-4066
(626) 775-3514
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
118061
CA
Other
Enumeration date
08/13/2010
Last updated
12/11/2020
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