Individual
ALAN J FITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
417 N 11TH ST, RICHMOND, VA 23298
(804) 828-7069
(804) 828-7199
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110001018
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023416
—
VA
Enumeration date
10/02/2006
Last updated
08/21/2018
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