Individual
BENJAMIN FORTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6565 E CARONDELET DR STE 301, TUCSON, AZ 85710-2159
(520) 253-7824
Mailing address
6565 E CARONDELET DR STE 301, TUCSON, AZ 85710-2159
(520) 253-7824
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
692113
TX
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001143
AZ
Other
Enumeration date
07/09/2021
Last updated
07/25/2025
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