Individual
JUDD R FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Mailing address
6703 W RIO GRANDE AVE, KENNEWICK, WA 99336-2623
(509) 460-5588
(509) 783-5438
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60734111
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD60734111
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077644
—
WA
Enumeration date
04/04/2011
Last updated
07/16/2019
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