Individual
DR. MARK ANDREW FRITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE B317 EAR NOSE & THROAT CLINIC, LEXINGTON, KY 40536-6402
(859) 257-5405
(859) 257-5096
Mailing address
740 S LIMESTONE B317 EAR NOSE & THROAT CLINIC, LEXINGTON, KY 40536-0284
(859) 257-5405
(859) 257-5096
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
075637
GA
207Y00000X
Otolaryngology Physician
Primary
50115
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50115
KENTUCKY BOARD OF MEDICAL LICENSURE
KY
Enumeration date
04/26/2011
Last updated
07/21/2022
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