Individual
CORWYN DEAN FORTNER
Active
Individual
CORWYN DEAN FORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
44088
CO
207L00000X
Anesthesiology Physician
67209
TN
207L00000X
Anesthesiology Physician
7556A
WY
207L00000X
Anesthesiology Physician
Primary
88799
GA
207L00000X
Anesthesiology Physician
A87236
CA
Other
Enumeration date
07/12/2006
Last updated
03/16/2023
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