Dallas D Fitzgerald (NPI# 1396716619, PAC ID# 2466447362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1396716619 |
| PAC ID by PECOS | 2466447362 |
| Professional Enrollment ID | I20040419001667 |
| Full Name | Dallas D Fitzgerald |
| Address |
1605 S Main St Maryville MO 64468-2611 |
| Phone Number | 6605620215 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1997 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1605 S Main St, Maryville, MO 64468-2611 | 6605620215 |
| Street Address |
1605 S MAIN ST |
| City | MARYVILLE |
| State | MO |
| Zip | 64468-2611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Janette E Castillo | Psychologist, Clinical | 1605 S Main St, Las Cruces, NM 88005-3124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Ann Jones | Clinical Social Worker | New Beginnings Counseling Group Inc | 423 N Market St, Maryville, MO 64468-1614 |
| Kristi R White | Clinical Social Worker | New Beginnings Counseling Group Inc | 423 N Market St, Maryville, MO 64468-1614 |
| Danielle Leann Kneib | Clinical Social Worker | Deer Oaks Mental Health Associates PC | 524 N Laura St, Golden Living Center Maryville, Maryville, MO 64468-1955 |
| Kevan J Evans | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Vincent L Shelby | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Darcy Maureen Schieber | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| James Dale Schoonover | Chiropractic | Northwest Chiropractic Clinic | 206 W 2nd St, Maryville, MO 64468-2229 |
| Ryan K. Losh | Optometry | 109 S Buchanan St, Maryville, MO 64468-2384 | |
| Leslie Luke | Nurse Practitioner | 106 W Edwards St, Maryville, MO 64468-2419 | |
| Debra Lynne Williams | Optometry | 503 S Main St, Maryville, MO 64468-2444 | |
| Find all physicians in zip 64468 | |||
| City | MARYVILLE |
| Zip Code | 64468 |
| Specialty | OPTOMETRY |
| City + Specialty | MARYVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Dallas D Fitzgerald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.