MARY BERNADETTE FORTINI

SALT LAKE CITY, UT
NPI1689025702
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2080P0208X Pediatrics, Pediatric Infectious Diseases
(Licence: UT  12831176-1204)
Additional Taxonomies208000000X Pediatrics
(Licence: NE  7826)
Enumeration Date2016-06-30
Last Update Date2024-04-22
Business Address
MARY BERNADETTE FORTINI D.O.
81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113-1125
Phone number: 801-213-3599
Mailing Address
MARY BERNADETTE FORTINI D.O.
982185 NEBRASKA MEDICAL CTR
OMAHA, NE 68198-2185
Phone number: