Individual
DR. THOMAS PAUL FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7458 WASHINGTON AVE, SAINT LOUIS, MO 63130-4048
(720) 891-5115
Mailing address
7458 WASHINGTON AVE, SAINT LOUIS, MO 63130-4048
(720) 891-5115
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2009011727
MO
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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