Individual
GILBERT ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 734-0252
Mailing address
13965 N 75TH AVE, PEORIA, AZ 85381-6097
(602) 734-0252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76009
AZ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
64715
AZ
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
R76009
AZ
Other
Enumeration date
04/05/2017
Last updated
06/27/2022
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