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Individual

NATHAN FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1525 W SUNSHINE ST, SUITE A, SPRINGFIELD, MO 65807-2348
(417) 863-1434
(417) 863-1468
Mailing address
3838 W STATE ST, SPRINGFIELD, MO 65802-5784
(417) 863-1330
(417) 863-1468

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CE006686
MO

Other

Enumeration date
01/24/2006
Last updated
10/26/2011
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