Organization
THOMAS M FITZPATRICK MD LLC
Active
Other names
Seneca Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS M FITZPATRICK M.D. (SOLE MEMBER)
(541) 573-7988
Entity
Organization
Contact information
Practice address
525 NORTH BARNES, SENECA, OR 97873
(541) 542-2222
Mailing address
73216 FOLEY RD, BURNS, OR 97720-9303
(541) 573-7988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16856
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R147670
PTAN
OR
Enumeration date
05/29/2009
Last updated
06/28/2010
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