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Individual
DONALD J ORTIZ
Active
Individual
DONALD J ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92-323
NM
208D00000X
General Practice Physician
92-323
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000F7906
—
NM
Enumeration date
08/30/2006
Last updated
10/29/2024
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