person
Dr. Fortino Velasco IV, MD
Student in an Organized Health Care Education/Training Program in Winston Salem, North Carolina
NPI 1720616667

Fortino Velasco IV is a Student in an Organized Health Care Education/Training Program based in Dallas, NC. Fortino Velasco IV practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for Fortino Velasco IV is 1720616667 and holds a License No. (North Carolina).

The current practice location address for Fortino Velasco IV is 1 Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2011.

Location: 1 Medical Center Blvd, Winston Salem, NC, 75235-6569
person
Provider Profile Details
NPI Number
1720616667
Provider Name
Fortino Velasco IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Blvd, Winston Salem, NC, 75235-6569
Phone Number
336-716-2011
Fax Number
Provider Enumeration Date
03/27/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
person
Provider Business Mailing Address Details
Address
1 Medical Center Blvd
City
State
Zip
27157-0001
Phone Number
336-716-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
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.
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