TRAVIS ALEXANDER FORTIN

BIRMINGHAM, AL
NPI1164001293
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-06
Last Update Date2021-04-16
Business Address
Dr. TRAVIS ALEXANDER FORTIN MD
625 19TH STREET SOUTH
BIRMINGHAM, AL 35249-5327
Phone number: 205-934-4793
Mailing Address
Dr. TRAVIS ALEXANDER FORTIN MD
625 19TH ST S
BIRMINGHAM, AL 35233-1900
Phone number: