Individual
EARL JAMES FITZGERALD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 W 15TH STREET, LIBERAL, KS 67901
(620) 624-1651
(620) 629-2472
Mailing address
315 W 15TH STREET, PO BOX 1340, LIBERAL, KS 67905-1340
(620) 624-1651
(620) 629-2472
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
417460
KS
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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