MRS. MELISSA FORTNER, PAC

Physician Assistant - Medical

Active Individual
NPI: 1972584209

Practice Address

4290 POLK AVE
San Diego, CA 92105

Phone: (619) 563-0507

Specialties

Specialty Code Primary License
Physician Assistant - Medical 363AM0700X Yes PA15119 (CA)

Frequently Asked Questions

NPI 1972584209 is the National Provider Identifier for MRS. MELISSA FORTNER, PAC, a Physician Assistant - Medical provider located in San Diego, CA. This NPI was enumerated on November 14, 2005.
MRS. MELISSA FORTNER, PAC practices at 4290 POLK AVE, San Diego, CA 92105.

Quick Facts

NPI
1972584209
Type
Individual
Enumerated
Nov 14, 2005
Last Updated
Jul 8, 2007

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