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Individual

MR. BRIAN MITCHELL MITCHELL TORRES ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
CORNER ROUTE OF N7 AND N12, FORT DEFIANCE, AZ 86504-8650
(928) 729-8000
Mailing address
PO BOX 649, FORT DEFIANCE, AZ 86504-0649
(928) 729-8000

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
794123
NY

Other

Enumeration date
11/09/2022
Last updated
11/09/2022
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