Organization
JOHN O FITTS M.D., PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN O. FITTS (PRESIDENT)
(270) 842-7272
Entity
Organization
Contact information
Practice address
1325 ANDREA ST, STE 101, BOWLING GREEN, KY 42104-5852
(270) 842-7272
Mailing address
1325 ANDREA ST, STE 101, BOWLING GREEN, KY 42104-5852
(270) 842-7272
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD15862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64158629
—
KY
Enumeration date
06/09/2006
Last updated
11/14/2008
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