Individual
RYAN FITZMORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3620 JOSEPH SIEWICK DR, STE 100, FAIRFAX, VA 22033-1757
(703) 810-5223
(703) 810-5403
Mailing address
PO BOX 75420, BALTIMORE, MD 21275-5420
(703) 383-6469
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001601
VA
363AM0700X
Medical Physician Assistant
0110001601
VA
Other
Enumeration date
07/16/2006
Last updated
07/06/2015
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