Individual
DR. DORIS J FORTUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
7626 N OAK TRFY, GLADSTONE, MO 64118-1751
(816) 468-5200
(816) 468-5201
Mailing address
7626 N OAK TRFY, GLADSTONE, MO 64118-1751
(816) 468-5200
(816) 468-5201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004016
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05886016
BLUE CROSS BLUE SHIELD
MO
Enumeration date
01/19/2006
Last updated
08/02/2013
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