DR. Douglas Stewart Fitzwater, MD

NPI #1619967106 in Portageville, Missouri

Provider Information

NPI Number: 1619967106
Entity Type: Individual
Name: DR. Douglas Stewart Fitzwater, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Aug 20, 2019

Practice Location

Address: 204 E 3RD ST
City: Portageville
State: Missouri
ZIP Code: 63873-1402
Phone: (573) 379-5467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Emergency Medicine — Pediatric Emergency Medicine	2080P0204X
Hospitalist	208M00000X
Pediatrics	208000000X	Primary

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