Individual
TIMOTHY ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022-0009
(406) 638-3500
Mailing address
3250 STONEGATE CIR, GAUTIER, MS 39553-6013
(228) 209-8047
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R860040
MS
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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