Individual
ABRAHAM ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2003 E 4TH ST, PUEBLO, CO 81001-4150
(719) 544-6373
(719) 545-5405
Mailing address
41 MONTEBELLO RD STE 202, PUEBLO, CO 81001-1366
(719) 545-2746
(719) 545-4100
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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