Individual
MIKE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2036 E CALLE MADERAS, MESA, AZ 85213-2910
(480) 650-6685
(480) 461-0069
Mailing address
2036 E CALLE MADERAS, MESA, AZ 85213-2910
(480) 650-6685
(480) 461-0069
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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