Individual
JOHN W FITZHARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
30 E APPLE ST, SUITE NW 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
30 E APPLE ST, SUITE NW 3300, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34002529F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000336868
BCBS
OH
05
—
2440451
—
OH
Enumeration date
05/20/2006
Last updated
12/11/2013
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