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General NPI Number Information
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NPI Number | 1316289135
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Entity Type | Individual
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Provider Name | DAVID W FITZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/19/2013
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1959 NE PACIFIC ST
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City | SEATTLE
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State | WA
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Zip | 98195-4494
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Country | US
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Telephone | 206-520-5000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50095
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City | SEATTLE
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State | WA
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Zip | 98145-5095
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 036172891
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD60940781
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License Number State | WA
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