IAN TIMOTHY FITZGERALD

MODESTO, CA
NPI1477132835
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59623)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2021-04-05
Last Update Date2024-04-02
Business Address
IAN TIMOTHY FITZGERALD PA-C
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number: 209-601-4054
Mailing Address
IAN TIMOTHY FITZGERALD PA-C
1700 COFFEE RD
MODESTO, CA 95355-2803
Phone number:
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