Individual
DR. JEFFREY JAMES FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3501 N SCOTTSDALE RD STE 130, SCOTTSDALE, AZ 85251-5649
(480) 425-5000
Mailing address
PO BOX 42456, CINCINNATI, OH 45242-0456
(513) 247-8646
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35123011
OH
2085R0202X
Diagnostic Radiology Physician
42704
AZ
390200000X
Student in an Organized Health Care Education/Training Program
TL-2164
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099271
—
OH
05
—
201220770
—
IN
05
—
522302
—
AZ
05
—
7100290250
—
KY
Enumeration date
01/26/2007
Last updated
02/18/2019
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