Organization
FORTUNA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSWALD LOPEZ (MANAGER)
(928) 342-7046
Entity
Organization
Contact information
Practice address
11510 S FORTUNA RD, SUITE A, YUMA, AZ 85367-7843
(928) 342-7046
(928) 342-7018
Mailing address
11510 S FORTUNA RD, STE A, YUMA, AZ 85367-7843
(928) 342-7046
(928) 342-7018
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/26/2014
Last updated
09/28/2023
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