Timothy John Fortuna D.O.

NPI 1093717712 - Preventive Medicine - 2083A0100X

NPI Details
NPI 1093717712
Gender Male
Enumeration Date 08/12/2005
Last Updated 11/21/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
7017 HIGHFIELDS FARM TRL
ROANOKE VA, 24018-5633, US
Phone (540) 400-0938
Fax
Business Location
7017 HIGHFIELDS FARM TRL
ROANOKE VA, 24018-5633, US
Phone (540) 400-0938
Fax
Toxanomy
Taxonomy Code 2083A0100X
License State Virginia
License Number 0102201372
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According to our database, Dr. Timothy John Fortuna D.O. NPI is 1093717712, taxonomy code is 2083A0100X and license number is 0102201372, license state is located at Virginia. Timothy John Fortuna D.O. physically located at 7017 Highfields Farm Trl, Roanoke VA, 24018-5633. NPI Number Timothy John Fortuna D.O. has the Individual type.

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1093717712 NPI number is provided on an as is basis without warranty of any kind. 1093717712 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy John Fortuna D.O. are for informational purposes only.