# RYAN H. FITZWATER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1770524977
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 2253 | WV | Yes |
| 208D00000X | General Practice Physician | 2253 | WV | — |
| 363A00000X | Physician Assistant | — | NULL | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 04/24/2012