Individual
DR. JOHN K FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Mailing address
7701 SHERIDAN BLVD, WESTMINSTER, CO 80003-2605
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1175
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008179
KAISER PROVIDER NUMBER
CO
05
—
07011752
—
CO
Enumeration date
03/22/2007
Last updated
04/08/2011
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