Organization
TIFFANY ORDONEZ MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI A LABRECQUE (ACCTS MGR)
(702) 453-3799
Entity
Organization
Contact information
Practice address
1501 E 3RD ST, DELTA, CO 81416-2815
(970) 874-7681
Mailing address
PO BOX 2365, TELLURIDE, CO 81435-2365
(702) 453-3799
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
42328
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42328
CO LIC
CO
Enumeration date
05/02/2012
Last updated
05/02/2012
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