Individual
QUENTIN ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13677 W MCDOWELL RD, GOODYEAR, AZ 85395-2635
(623) 882-1500
Mailing address
11818 N 143RD AVE, SURPRISE, AZ 85379-4396
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
139441
AZ
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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