| Doctor Name: | FREDERICK B FITTS |
| NPI Number: | 1609829613 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | M6310 |
| Business Practice Address: | 1501 Hiland Ave Burley, ID - 833182682 |
| Business Phone Number: | 2086776513 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1886, TWIN FALLS |
| State: | ID |
| Postal Code: | 833031886 |
| Phone Number: | 2087360887 |
| Fax Number: | 2087360890 |
| NPI Enumeration Date: | 05/19/2006 |
| NPI Last Update Date: | 10/17/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | M6310 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |