Individual
PATRICK JOSEPH FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15525 POMERADO RD, SUITE E1, POWAY, CA 92064-2435
(858) 485-7870
(858) 485-6473
Mailing address
15525 POMERADO RD, SUITE E1, POWAY, CA 92064-2435
(858) 485-7870
(858) 485-6473
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G90210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G802100
BLUE SHIELD
CA
05
—
00G802100
—
CA
Enumeration date
09/20/2006
Last updated
07/08/2007
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