Individual
LESLIE FITZGIBBONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2540 EAST ST, CONCORD, CA 94520-1906
(925) 682-8200
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
(510) 879-9100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G81312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G813120
—
CA
Enumeration date
07/26/2006
Last updated
10/24/2007
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