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Search › Missouri › 208000000X

Douglas Fitzwater, MD

NPI 1619967106 · on the registry since 2005

Practice

Address
204 E 3rd St
Portageville, MO 63873
Phone
(573) 379-5467
Fax
(573) 379-5671
Organisation at this address
Missouri Delta Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Additional practice sites

  • 615 Main St, New Madrid, MO
  • 1 Childrens Pl, Saint Louis, MO

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
2080P0204X
208M00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri