Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Fortin, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083463095

Andrew Fortin, MD is a Student in an Organized Health Care Education/Training Program in Phoenix, Arizona. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St Ste 508
Phoenix, AZ 85006-2849
Phone: (602) 839-3927
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1083463095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2024
Last updated in NPPESMay 14, 2024
Certification dateMay 14, 2024

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