VINCENT P FORTUNATO MD LLC

SAINT LOUIS, MO
NPI1033424809
Entity TypeOrganization
Authorized ContactVINCENT FORTUNATO
President
314-843-5140
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MO  R1J64)
Enumeration Date2010-08-17
Last Update Date2010-08-17
Business Address
VINCENT P FORTUNATO MD LLC
10004 KENNERLY RD 255A
SAINT LOUIS, MO 63128-2141
Phone number: 314-843-5140
Mailing Address
VINCENT P FORTUNATO MD LLC
10004 KENNERLY RD 255A
SAINT LOUIS, MO 63128-2141
Phone number: 314-843-5140