Individual
JUAN PABLO MORENO-ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6553 E BAYWOOD AVE STE 205, MESA, AZ 85206-1754
(480) 626-2020
Mailing address
3333 E CAMELBACK RD STE 180, PHOENIX, AZ 85018-2396
(602) 759-6883
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R77241
AZ
207RN0300X
Nephrology Physician
Primary
71795
AZ
207RN0300X
Nephrology Physician
A179000
CA
Other
Enumeration date
04/08/2019
Last updated
05/18/2024
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