Taylor Fortner

NPI #1518546399 in High Ridge, Missouri

Provider Information

NPI Number: 1518546399
Entity Type: Individual
Name: Taylor Fortner
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Apr 7, 2021
Last Updated: Apr 7, 2021

Practice Location

Address: 1817 GRAVOIS RD
City: High Ridge
State: Missouri
ZIP Code: 63049-2668
Phone: (636) 376-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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