Individual provider · Type 1 NPI
George S. Fortner, MD
Vascular Surgery Physician · Longview, WA
NPI number
1154329324
Active
Practice location
1615 Delaware St
Longview, WA 98632-2310
Fax (360) 501-3555
Mailing address
PO Box 3002
Longview, WA 98632-0302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular Surgery Physician Primary | 2086S0129X | MD00016906 (WA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1154329324
George S. Fortner, MD's National Provider Identifier is 1154329324, issued on Jul 12, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Longview, WA. The record was last updated on Nov 14, 2007.