Individual
DR. DAVID J FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 392-2026
(970) 392-2028
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 392-2026
(970) 392-2028
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
46122
CO
207RP1001X
Pulmonary Disease Physician
Primary
46122
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055790
BCBS OF KANSAS
KS
05
—
100196190B
—
OK
05
—
100282300D
—
KS
05
—
63528258
—
CO
Enumeration date
03/25/2006
Last updated
02/08/2012
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