Mark Wilbur Fortson in Dubuque - Neurology
Mark Wilbur Fortson - NPI 1467413914
Mark Wilbur Fortson is a Neurology in Dubuque, Iowa. Mark Wilbur Fortson practices all healthcare services and medical treatments related to Neurology. The NPI Number for Mark Wilbur Fortson is 1467413914. The last update date is 2013-05-08.
Mark Wilbur Fortson's current location address is 2255 Jfk Rd, Dubuque, Iowa. You can contact this provider via phone number 5635824357 and fax number 5635825718. The mailing address for Mark Wilbur Fortson is 2255 Jfk Rd, Dubuque, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Wilbur Fortson |
|---|---|
| Address | 2255 Jfk Rd, Dubuque, Iowa |
| Phone Number | 5635824357 |
| Fax Number | 5635825718 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1467413914 |
|---|---|
| Provider Enumeration Date | 2006-03-31 |
| Last Updated Date | 2013-05-08 |
Provider Mailing Address Detail
| Address | 2255 Jfk Rd |
|---|---|
| City | Dubuque |
| State | Iowa (IA) |
| Post Code | 520022846 |
| Phone Number | 5635824357 |
| Fax Number | 5635825718 |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 2084N0400X |
| Licence No | 27778 |
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Definition: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 35557 | IA | BLUE CROSS WELLMARK BLUE | |
| 1065847 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Mark Wilbur Fortson by the Centers for Medicare & Medicaid Services (CMS)?
The Mark Wilbur Fortson has been assigned the NPI (National Provider Identifier) 1467413914. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Mark Wilbur Fortson's facilities are situated?
The facilities of Mark Wilbur Fortson are physically located at the following address: 2255 Jfk Rd, Dubuque, IA, 520022846.
What is the Mark Wilbur Fortson's specialty and taxonomy code?
The Mark Wilbur Fortson's specialty is Neurology, and the corresponding taxonomy code is 2084N0400X.
When did Mark Wilbur Fortson receive its 1467413914 assignment?
The Mark Wilbur Fortson was assigned its 1467413914 on 2006-03-31, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Mark Wilbur Fortson most recently updated or revised?
The details related to Mark Wilbur Fortson, including its address, specialty, and other relevant information, were last updated or revised on 2013-05-08.
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