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Individual

DR. AMY MICHELLE FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2229 N BELT HWY STE A, SAINT JOSEPH, MO 64506-2481
(816) 671-0500
(816) 671-0600
Mailing address
2229 N BELT HWY STE A, SAINT JOSEPH, MO 64506-2481
(816) 671-0500
(816) 671-0600

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03338
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27265055
BLUECROSSBLUESHIELD
Enumeration date
10/11/2006
Last updated
07/08/2007
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