Individual
MARTHA DRAKE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP,
Contact information
Practice address
1005 E MAIN ST, MEDFORD, OR 97504-7448
(541) 774-8209
Mailing address
114 N 3RD ST, ASHLAND, OR 97520-1942
(541) 482-1038
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
087006747N1FNP-PP
OR
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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