Individual
MR. DALE WALTER FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1717 COFFEE RD, MODESTO, CA 95355-2808
(209) 529-0531
(209) 529-5219
Mailing address
1717 COFFEE RD, MODESTO, CA 95355-2808
(209) 529-0531
(209) 529-5219
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G65940
CA
Other
Enumeration date
09/25/2006
Last updated
03/07/2023
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