Individual
JONATHAN FORTES ANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-8788
(573) 882-3131
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2017044194
MO
207RP1001X
Pulmonary Disease Physician
2017044194
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/03/2012
Last updated
04/18/2023
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