Individual
AIDAN FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
921 S 8TH AVE STOP 8253, POCATELLO, ID 83209-0002
(208) 282-4726
Mailing address
212 BLAKE ST, HELENA, MT 59601-4373
(406) 422-3154
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
09/05/2025
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