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Individual

JENNIFER FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3676 PARKER BLVD, SUITE 390, PUEBLO, CO 81008-2210
(719) 595-7780
(719) 595-7789
Mailing address
3676 PARKER BLVD, SUITE 390, PUEBLO, CO 81008-2210
(719) 595-7780
(719) 595-7789

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
49140
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
06488846
CO
Enumeration date
02/06/2007
Last updated
08/12/2014
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