Larry L Fitzwater, PA-C

NPI #1528116662 in Philippi, West Virginia

Provider Information

NPI Number: 1528116662
Entity Type: Individual
Name: Larry L Fitzwater, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: #1 HEALTHCARE DRIVE
City: Philippi
State: West Virginia
ZIP Code: 26416
Phone: (304) 457-1760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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