Darryl L Fortson is a Family Medicine Physician based in Las Vegas, NV. Darryl L Fortson practices in Las Vegas, NV and has the professional credentials of MD. The NPI Number for Darryl L Fortson is 1538255823 and holds a License No. 01037803 (Nevada).
The current practice location address for Darryl L Fortson is 2704 N Tenaya Way, Las Vegas, NV and can be reached out via phone at 702-243-8500 and via fax at 702-363-8195.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200004090B | 05 | IN | |
| V112580-V112581 | 01 | NV | PTAN |
| V113132 | 01 | NV | SMA MEDICARE |
| 000000359839 | 01 | IN | ANTHEM, BC/BS PROVIDER |
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