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Organization

JEANNE L FITZPATRICK MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEANNE FITZPATRICK (DR)
(503) 769-4602
Entity
Organization

Contact information

Practice address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1487
(503) 769-4602
(503) 769-5416
Mailing address
1401 N 10TH AVE STE 100, STAYTON, OR 97383-1486
(503) 769-4602
(503) 769-5416

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
03/12/2008
Last updated
03/16/2009
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