Individual
JAMES HERBERT FORTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(703) 383-8235
Mailing address
901 RANCHO LN STE 135, LAS VEGAS, NV 89106-3826
(702) 383-7855
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
70504
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
05/17/2022
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