Individual
ANNE MARIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
783 DOUBLE EAGLE DR, MIDWAY, UT 84049-6616
(435) 654-8688
Mailing address
783 DOUBLE EAGLE DR, MIDWAY, UT 84049-6616
(435) 654-8688
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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