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Organization
UNMSOM 89
Active
Organization
UNMSOM 89
Active
Other names
Midtown Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD J ORTIZ MD (PARTNER)
(505) 255-1228
Entity
Organization
Contact information
Practice address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Mailing address
1821 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110-4905
(505) 255-1228
(505) 255-1394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
03-136327-00-0
NM
Other
Enumeration date
06/19/2008
Last updated
04/07/2011
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