Individual
DR. GERARDO ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4595
(719) 584-4861
Mailing address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4595
(719) 584-4861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
46280
CO
Other
Enumeration date
05/03/2007
Last updated
07/09/2008
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