Individual
LEO J FITZPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
920 COUNTRY CLUB RD STE 220B, EUGENE, OR 97401-6090
(541) 342-5012
Mailing address
25357 HIGH PASS RD, JUNCTION CITY, OR 97448-9387
(570) 932-1814
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201801101CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
209-05581
IL
367500000X
Certified Registered Nurse Anesthetist
RN631023
PA
Other
Enumeration date
06/02/2006
Last updated
05/06/2019
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