Individual
MARY L.A. FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 W GUADALUPE RD STE 108, GILBERT, AZ 85233-3049
(480) 633-6200
(480) 654-6214
Mailing address
1520 W GUADALUPE RD STE 108, GILBERT, AZ 85233-3049
(480) 633-6200
(480) 654-6214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26832
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z106147
MEDICARE ID-PIN
AZ
Enumeration date
10/18/2006
Last updated
10/31/2024
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