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Individual

ALEXANDRA FITZGERALD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
86 COLUMBUS CIR STE 203, ATHENS, OH 45701-1371
(740) 249-4122
(740) 249-4126
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(614) 544-6155
(614) 544-6370

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014346
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140042800
MD
01
690512
MEDICARE
MD
Enumeration date
03/26/2015
Last updated
07/01/2020
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