George S. Fortner in Longview - Vascular Surgery
George S. Fortner - NPI 1154329324
George S. Fortner is a Vascular Surgery in Longview, Washington. George S. Fortner practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for George S. Fortner is 1154329324. The last update date is 2007-11-14.
George S. Fortner's current location address is 1615 Delaware St, Longview, Washington. You can contact this provider via phone number 3605013500 and fax number 3605013555. The mailing address for George S. Fortner is 1615 Delaware St, Longview, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George S. Fortner |
|---|---|
| Address | 1615 Delaware St, Longview, Washington |
| Phone Number | 3605013500 |
| Fax Number | 3605013555 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1154329324 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2007-11-14 |
Provider Mailing Address Detail
| Address | 1615 Delaware St |
|---|---|
| City | Longview |
| State | Washington (WA) |
| Post Code | 9863223100 |
| Phone Number | 3605013500 |
| Fax Number | 3605013555 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD00016906 |
|
Definition: 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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8395006 | WA | -- | |
| 8943476 | WA | CRIME VICTIMS | |
| 160747 | OR | -- | |
| 217049 | WA | LABOR & IND. |
Post Comment/ Review Below
What is the George S. Fortner's 1154329324?
The George S. Fortner's NPI (National Provider Identifier) Number is 1154329324. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of George S. Fortner?
The George S. Fortner is situated at 1615 Delaware St, in the city of Longview, state of WA, with the zip code 9863223100.
What is the George S. Fortner's specialty and taxonomy code?
The George S. Fortner's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
When did George S. Fortner receive its 1154329324 assignment?
The George S. Fortner was assigned its 1154329324 on 2005-07-12, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to George S. Fortner, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to George S. Fortner, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-14.