Individual
JOSHUA ORTEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6510 HIGHWAY 90 STE C, GAUTIER, MS 39553-5015
(228) 372-8559
Mailing address
5804 OLDE OAKVIEW, OCEAN SPRINGS, MS 39564-8732
(985) 249-4899
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
T4111
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2019
Last updated
06/06/2023
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