Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS STEWART FITZWATER, MD
ActiveDR. DOUGLAS STEWART FITZWATER, MD is a Pediatrics healthcare provider located in PORTAGEVILLE, Missouri. NPI 1619967106 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PORTAGEVILLE, MO
Registration Details
- NPI Number
- 1619967106
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 26, 2005 (20.842890378397 yrs)
- Last Updated
- Aug 20, 2019
- Licenses
-
R8N02 (MO)R8N02 (MO)R8N02 (MO)
Practice Information
- Address
-
204 E 3RD STPORTAGEVILLE, MO, 638731402Browse MO providers · Browse ZIP 63873
- Phone
- 5733795467
- Fax
- 5733795671
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Hospitalist
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.