Individual
MR. FRANK FORTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8101 HINSON FARM RD, ALEXANDRIA, VA 22306-3403
(703) 765-4321
Mailing address
8926 WOODYARD RD, SUITE 701, CLINTON, MD 20735-4220
(301) 856-1682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001280
VIRGINIA LICENSE
—
01
—
1024354
NCCPA CERTIFICATION #
—
Enumeration date
08/10/2009
Last updated
06/06/2011
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