Organization
DANIEL J. FITZGERALD, III, M.D., PROF. CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA VIRGINIA KEMMER (OFFICE MANAGER)
(760) 346-4600
Entity
Organization
Contact information
Practice address
74075 EL PASEO, SUITE B-1, PALM DESERT, CA 92260-4118
(760) 346-4600
(760) 346-6433
Mailing address
74075 EL PASEO, SUITE B-1, PALM DESERT, CA 92260-4118
(760) 346-4600
(760) 346-6433
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G87039
CA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
G87039
CA
Other
Enumeration date
04/13/2011
Last updated
04/20/2011
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