Individual
DALE R. BORTZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
420 SOUTH JACKSON ST, POTTSVILLE, PA 17901-2710
(570) 621-4000
Mailing address
PO BOX 829641, PHILADELPHIA, PA 19182-0001
(267) 370-5296
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS0005826L
PA
Other
Enumeration date
06/13/2006
Last updated
09/22/2020
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