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1740221191
BRIAN W FORTUIN
TWIN FALLS, ID
NPI
1740221191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M7263)
Enumeration Date
2006-06-09
Last Update Date
2014-12-29
Business Address
-- BRIAN W FORTUIN M.D.
775 POLE LINE RD W SUITE 302
TWIN FALLS, ID 83301-5814
Phone number: 208-814-8600
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Mailing Address
-- BRIAN W FORTUIN M.D.
PO BOX 587
TWIN FALLS, ID 83303-0587
Phone number: 208-814-7400
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