Individual
AGNES ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11809 AL HIGHWAY 157, SUITE E, MOULTON, AL 35650-2707
(256) 905-0340
Mailing address
11809 AL HIGHWAY 157, SUITE E, MOULTON, AL 35650-2707
(256) 905-0340
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
29465
AL
Other
Enumeration date
07/24/2007
Last updated
08/11/2011
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