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Individual

DR. JAMES G FITZSIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12300 METCALF AVE, OVERLAND PARK, KS 66213-1324
(913) 317-7000
Mailing address
9212 NIEMAN RD, OVERLAND PARK, KS 66214-1868
(913) 599-6777
(913) 599-3955

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
04-14430
KS
2085R0202X
Diagnostic Radiology Physician
R4952
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04775119
BCBS
05
100154520B
KS
05
203314828
MO
Enumeration date
03/02/2006
Last updated
02/20/2009
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