Dermot Richard Fitzgibbon
Anesthesiology, Pain Medicine in Seattle, WA. Individual provider (NPI-1).
NPI number1104901909
StatusActive
Last updated in NPPESMar 7, 2012
Details
- NPI
- 1104901909
- Entity type
- Individual (NPI-1)
- Name
- Dermot Richard Fitzgibbon
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 27, 2006
- Last updated
- Mar 7, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | MD00032514 | WA | Yes |
| 207L00000X | Anesthesiology | MD00032514 | WA |
Practice location
University Of Washington Medical Ctr1959 Ne Pacific St
Seattle, WA 98195-0001
Phone 206-598-4260
Mailing address
Po Box 50095Seattle, WA 98145-5095
Phone 206-543-6420
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