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Organization

IAN FITZ-GIBBON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IAN FITZ-GIBBON (OWNER)
(949) 293-1610
Entity
Organization

Contact information

Practice address
1800 N BROADWAY, SANTA ANA, CA 92706-2656
(949) 293-1610
Mailing address
2615 RAQUETA, NEWPORT BEACH, CA 92660-3510
(949) 293-1610

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary

Other

Enumeration date
02/09/2017
Last updated
02/09/2017
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