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Individual

ELLEN MARY FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3186 S MARYLAND PKWY, LAS VEGAS, NV 89109-2317
(702) 697-0082
(702) 369-5827
Mailing address
3006 S MARYLAND PKWY, SUITE 505, LAS VEGAS, NV 89109-2218
(888) 350-2911
(702) 369-8300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
L4938
TX
208M00000X
Hospitalist Physician
Primary
55777
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100509760
NV
Enumeration date
03/16/2006
Last updated
10/29/2020
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