Individual
JOSEPH RICHARD FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 N TRIUMPH BLVD, LEHI, UT 84043-4999
(385) 345-3000
Mailing address
PO BOX 3750, SLC, UT 84110-3750
(800) 748-4868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7205762-3102
UT
367500000X
Certified Registered Nurse Anesthetist
Primary
10292276-4406
UT
367500000X
Certified Registered Nurse Anesthetist
10292276-8901
UT
Other
Enumeration date
01/07/2016
Last updated
03/04/2024
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