Individual
JOHN L FORTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4439 STATE ROUTE 159, STE G10, CHILLICOTHE, OH 45601-8207
(740) 779-4300
(740) 779-4390
Mailing address
272 HOSPITAL RD, SUITE 4, CHILLICOTHE, OH 45601-9031
(740) 779-8556
(740) 779-7477
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35046995
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0502914
—
OH
Enumeration date
08/31/2005
Last updated
06/15/2012
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