Individual
DR. ROBERT MARK FITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1808 BRISTOW DR, UNION, KY 41091-3513
(859) 301-7210
(859) 301-7216
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 301-7210
(859) 301-7216
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33542
KY
208000000X
Pediatrics Physician
33542
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2261887
MEDICAID
OH
05
—
64037591
—
KY
Enumeration date
03/23/2006
Last updated
03/17/2021
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