Fitzwater, Douglas Stewart

Fitzwater, Douglas Stewart is an individual health care provider with primary practice located at 204 E 3Rd St , Portageville MO 63873-1402. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fitzwater, Douglas Stewart can be contacted via phone (573) 379-5467.

Contact Information

Primary practice address
204 E 3Rd St Portageville MO 63873-1402
Phone: (573) 379-5467
Fax: (573) 379-5671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X R8N02 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X R8N02 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R8N02 Missouri

Profile Details

NPI number 1619967106
LBN Legal business name Fitzwater, Douglas Stewart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 20th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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