Benjamin Leonard Fortson, M.D. is a student in an organized health care education training program in Oklahoma City, OK with 7 years of experience. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Benjamin Leonard Fortson, M.D. NPI is 1063945756. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2017
The provider's business location address is:
3300 NW EXPRESSWAY
OKLAHOMA CITY, OK
ZIP 73112
Phone: (907) 229-4994
The NPI 1063945756 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/10/2017 and was last updated on 6/20/2018.