Individual
GABRIEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1705 S SAN FRANCISCO ST, FLAGSTAFF, AZ 86011-0001
(619) 259-1011
Mailing address
1410 N INVERRARY WAY, FLAGSTAFF, AZ 86004-7575
(619) 259-1011
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
ATR-009322
AZ
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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