| NPI | 1215059985 |
|---|---|
| Doing Business As | FITZGIBBON PROFESSIONAL BUILDING |
| Entity Type | Organization |
| Authorized Contact | NANCY HARRIS CFO/COO 660-886-7231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-03-05 |