Individual
BRIAN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
200 BEATTY ST, MEDFORD, OR 97501-5811
(541) 476-2373
Mailing address
1215 SW G ST, GRANTS PASS, OR 97526-2544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201710143RN
OR
Other
Enumeration date
07/24/2018
Last updated
01/06/2020
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