Individual
DR. ALEXANDER WILLIAM ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
431 MEADOWLARK ST, SHAW AFB, SC 29152-5019
(803) 895-2273
(803) 895-6063
Mailing address
332 TOMENTOSA DR, COLUMBIA, SC 29209-4456
(704) 989-4667
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
2022-02862
NC
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
03/26/2021
Last updated
12/06/2022
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