Individual
STEPHEN CHARLES FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
352 HOSPITAL BLVD, PINEVILLE, LA 71360-6903
(318) 448-0811
(318) 473-1435
Mailing address
352 HOSPITAL BLVD, PINEVILLE, LA 71360-6903
(318) 448-0811
(318) 473-1435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12019R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1690457
—
LA
Enumeration date
06/30/2006
Last updated
09/27/2012
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