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Individual

MR. ROBERT O ORTIZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSC, ATC

Contact information

Practice address
400 E VAN BUREN ST, SUITE 300, PHOENIX, AZ 85004-2223
(602) 258-0000
Mailing address
300 E MILLER CT, P.O. BOX #2048, CASTLE ROCK, CO 80104-8436

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0001110
CO

Other

Enumeration date
09/15/2013
Last updated
10/07/2014
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