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NPI Code Detail

MEDICARE: PAUL STEPHEN FITZMORRIS MD

MEDICARE: PAUL STEPHEN FITZMORRIS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RG0100XGastroenterology Physician311552LA

General Provider Information

NPI Number : 1841633872
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAUL STEPHEN FITZMORRIS MD
Provider Business Mailing Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-246-9790
Fax Number : 225-246-9100
Provider Business Practice Location Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-769-4044
Fax Number : 225-246-9116
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/09/2013
Last Update Date : 10/29/2019

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