| William Fitzpatrick, Md, Pa | |
|
10 Coyote Trl Corrales NM 87048-7529 | |
| (505) 792-3063 | |
| (505) 922-6405 |
| Full Name | William Fitzpatrick, Md, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 10 Coyote Trl, Corrales, New Mexico |
| Authorized Official Name and Position | William Fitzpatrick (PRESIDENT) |
| Authorized Official Contact | 5057923063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| William Fitzpatrick, Md, Pa 10 Coyote Trl Corrales NM 87048-7529 Ph: (505) 792-3063 | William Fitzpatrick, Md, Pa 10 Coyote Trl Corrales NM 87048-7529 Ph: (505) 792-3063 |
| NPI Number | 1386951192 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386951192 | NPI | - | NPPES |
| 1538267984 | Other | NM | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 97-49 (New Mexico) | Primary |
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