RYAN H. FITZWATER

CHARLESTON, WV
NPI1770524977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208800000X Urology
(Licence: WV  2253)
Additional Taxonomies208D00000X General Practice
(Licence: WV  2253)
363A00000X Physician Assistant
Enumeration Date2006-06-09
Last Update Date2012-04-24
Business Address
-- RYAN H. FITZWATER D.O.
1201 WASHINGTON ST E SUITE 105
CHARLESTON, WV 25301-1834
Phone number: 304-388-1965
Mailing Address
-- RYAN H. FITZWATER D.O.
415 MORRIS ST SUITE 304
CHARLESTON, WV 25301-1842
Phone number: 304-388-7782