Individual
JOHN R FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 WESTMOUNT DR, FARMINGTON, MO 63640-2970
(573) 756-2020
(573) 756-6997
Mailing address
140 WESTMOUNT DR, FARMINGTON, MO 63640-2970
(573) 756-2020
(573) 756-6997
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD R2D32
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202056719
—
MO
Enumeration date
03/16/2006
Last updated
11/27/2023
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