Individual
BENJAMIN DOUGLAS FITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
621 S NEW BALLAS RD STE 7011B, SAINT LOUIS, MO 63141-8275
(314) 251-6840
Mailing address
15573 COUNTRY RIDGE DR, CHESTERFIELD, MO 63017-7455
(314) 607-2586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2025032286
MO
Other
Enumeration date
06/12/2025
Last updated
06/02/2026
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