Individual
DANIEL R ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
(928) 539-0053
Mailing address
1394 W 16TH ST, YUMA, AZ 85364-4430
(928) 539-0055
(928) 539-0053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2043
AZ
Other
Enumeration date
07/25/2006
Last updated
02/10/2012
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