Individual
RYAN FITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 N ACADEMY AVE # MC13-10, DANVILLE, PA 17822-9800
(570) 271-6812
Mailing address
100 N ACADEMY AVE # MC13-10, DANVILLE, PA 17822-9800
(570) 271-6812
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14266288-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2022
Last updated
02/03/2026
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