Individual
DR. RYAN ROBERT FORTNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
MD60131035
WA
207ZP0101X
Anatomic Pathology Physician
Primary
MD60131035
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD60131035
MEDICAL LICENSE
WA
01
—
MEDS7006
MEDICAL LICENSE
AK
Enumeration date
12/27/2006
Last updated
01/10/2023
Update your record
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