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Douglas Fitzwater
Rural Health Clinic/Center in Caruthersville, Missouri
NPI 1467442566

Douglas Fitzwater is a Rural Health Clinic/Center based in Cape Girardeau, MO and is specialized in Rural Health. Douglas Fitzwater practices in Caruthersville, MO. The NPI Number for Douglas Fitzwater is 1467442566 and holds a License No. (Missouri).

The current practice location address for Douglas Fitzwater is 412 Ward Ave, Caruthersville, MO and can be reached out via phone at 573-333-0033 and via fax at 573-333-2522.

Location: 412 Ward Ave, Caruthersville, MO, 63702-0817
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467442566
Provider Name
Douglas Fitzwater
Credential
Provider Entity Type
Organization
Address
412 Ward Ave, Caruthersville, MO, 63702-0817
Phone Number
573-333-0033
Fax Number
573-333-2522
Provider Enumeration Date
10/28/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7158 01 MO BCBS
596113605 05 MO
institution
Provider Business Practice Location Address Details
Address
412 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1451
Phone Number
573-333-0033
Fax Number
573-333-2522
person
Provider Business Mailing Address Details
Address
412 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1451
Phone Number
573-333-0033
Fax Number
573-333-2522
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
261QR1300X
License No.
()
Definition
Definition to come...
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