Individual
DR. GLENN E FORTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHIELDS AVE, DAVIS, CA 95616-5270
(530) 752-2300
(530) 752-2306
Mailing address
417 MACE BLVD.,, SUITE J, #341, DAVIS, CA 95618
(530) 756-5539
(530) 756-2022
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A19839
CA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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