Individual
DR. CLAYTON BRENNAN FITZPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4199 GATEWAY BLVD., SUITE 3100, NEWBURGH, IN 47630
(812) 842-4550
(812) 842-4549
Mailing address
4199 GATEWAY BLVD, SUITE 3100, EVANSVILLE, IN 47630-8940
(812) 842-4550
(812) 842-4549
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
01056421A
IN
207VM0101X
Maternal & Fetal Medicine Physician
2005-00676
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200921290
—
IN
05
—
5901314
—
NC
Enumeration date
06/13/2006
Last updated
09/09/2019
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