Individual
ABEL ORTEGA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
865 N ARIZOLA RD, CASA GRANDE, AZ 85122
(520) 836-3446
(520) 836-8807
Mailing address
PO BOX 10097, CASA GRANDE, AZ 85130-0020
(520) 836-3446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6634
AZ
Other
Enumeration date
01/25/2017
Last updated
07/01/2019
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