ANTHONY DUANE FITZPATRICK

BOISE, ID
NPI1780613125
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ID  AT035)
Enumeration Date2006-06-30
Last Update Date2007-07-08
Business Address
Mr. ANTHONY DUANE FITZPATRICK LAT, ATC
701 E BOISE AVE
BOISE, ID 83706-5119
Phone number: 208-854-6230
Mailing Address
Mr. ANTHONY DUANE FITZPATRICK LAT, ATC
3915 E WORMWOOD CT
BOISE, ID 83716-6938
Phone number: 208-331-5077