Individual
FREDERICK B FITTS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 HILAND AVE, BURLEY, ID 83318-2682
(208) 677-6513
Mailing address
PO BOX 1886, TWIN FALLS, ID 83303-1886
(208) 736-0887
(208) 736-0890
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
M6310
ID
Other
Enumeration date
05/19/2006
Last updated
10/17/2007
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