Individual
DR. JOHN O FITTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 ANDREA ST, STE 101, BOWLING GREEN, KY 42104-5852
(270) 842-7272
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1759
(270) 781-5111
(270) 783-3750
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15862
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64158629
—
KY
Enumeration date
06/30/2006
Last updated
07/14/2014
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