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Individual
RYAN H. FITZWATER
Active
Individual
RYAN H. FITZWATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2253
WV
208D00000X
General Practice Physician
2253
WV
363A00000X
Physician Assistant
—
NULL
Other
Enumeration date
06/09/2006
Last updated
04/24/2012
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