Individual
BRIAN DOUGLAS FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
320 E FONTANERO ST, COLORADO SPRINGS, CO 80907-7529
(719) 475-9023
Mailing address
245 RAVENGLASS WAY, COLORADO SPRINGS, CO 80906-7970
(719) 538-8367
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D7793
CO
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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