Individual
DR. JOSEPHINE M FITZSIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 385-6328
Mailing address
PO BOX 6088, BEND, OR 97708-6088
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD17657
OR
225400000X
Rehabilitation Practitioner
MD17657
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036892
—
OR
Enumeration date
12/14/2005
Last updated
04/17/2024
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