| NPI | 1316140494 |
|---|---|
| Doing Business As | FITZGIBBON FAMILY HEALTH |
| Entity Type | Organization |
| Authorized Contact | NANCY HARRIS CFO/COO 660-886-7231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: MO 27-56) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-03-05 |