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710 LAWRENCE EXPRESS WAY SANTA CLARA CA 950515173
JOHN FORTUNE is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1497831994. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 8325208275. The primary specialty is ORTHOPEDIC SURGERY. The organization is PERMANENTE MEDICAL GROUP INC. The address is 710 LAWRENCE EXPRESS WAY, , SANTA CLARA, CA, 950515173. The zip code is 950515173.
|Nation Provider ID||1497831994|
|PAC ID by PECOS||8325208275|
|Professional Enrollment ID||I20120329000777|
|Medical School Name||CREIGHTON UNIVERSITY SCHOOL OF MEDICINE|
|Primary Specialty||ORTHOPEDIC SURGERY|
|All secondary specialties|
|Organization Name||PERMANENTE MEDICAL GROUP INC|
|Group Practice PAC ID||8921910225|
|Number of Group Practice members||127|
|Address||710 LAWRENCE EXPRESS WAY, , SANTA CLARA, CA, 950515173|
|Hospital affiliation LBN|