Individual
DR. DOUGLAS GEORGE ORNDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Mailing address
2100 LOUISIANA BLVD NE STE 410, ALBUQUERQUE, NM 87110-5412
(505) 724-4300
(505) 724-4384
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
DR.0047869
CO
207X00000X
Orthopaedic Surgery Physician
MD2009-0616
NM
207XS0117X
Orthopaedic Surgery of the Spine Physician
47869
CO
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD2009-0616
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21501084
—
NM
05
—
26703327
—
CO
01
—
CO305379
MEDICARE PTAN
CO
Enumeration date
05/10/2007
Last updated
11/03/2023
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