Individual
DR. ANNE S ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1916 W 21ST ST, CLOVIS, NM 88101-4026
(575) 935-2121
(575) 935-2122
Mailing address
1916 W 21ST ST, CLOVIS, NM 88101-4026
(575) 799-1412
(575) 935-2122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD2007-0653
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD2007-0653
STATE LICENSE
NM
Enumeration date
10/02/2007
Last updated
05/16/2013
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