DR. Darrell Lee Fort, M.D.

NPI #1710998794 in Roseburg, Oregon

Provider Information

NPI Number: 1710998794
Entity Type: Individual
Name: DR. Darrell Lee Fort, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: M.D.
Enumeration Date: Aug 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 913 NW GARDEN VALLEY BLVD
City: Roseburg
State: Oregon
ZIP Code: 97470-6523
Phone: (541) 440-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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