Individual
COLLEEN M. FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, PEDIATRIC SURGERY, SAINT LOUIS, MO 63104-1003
(314) 577-5629
(314) 268-6454
Mailing address
1465 S GRAND BLVD, PEDIATRIC SURGERY, SAINT LOUIS, MO 63104-1003
(314) 577-5629
(314) 268-6454
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
2012023503
MO
Other
Enumeration date
07/03/2007
Last updated
02/26/2016
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