Individual
DR. SHARI J. FITZGERALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1790 AIRPORT ROAD, #B, BRECKENRIDGE, CO 80424
(970) 453-7600
(970) 453-7688
Mailing address
PO BOX 8539, 1790B AIRPORT ROAD, BRECKENRIDGE, CO 80424-8539
(970) 453-7600
(970) 453-7688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26641
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66635357
—
NM
01
—
8HM230
PTAN # (MEDICARE)
NM
01
—
HSZ196
MEDICARE PART B
NM
05
—
K3526
—
NM
Enumeration date
07/27/2006
Last updated
03/01/2011
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