Individual
DR. JEFFREY THOMAS BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
355 LENNON LN, SUITE 355, WALNUT CREEK, CA 94598-2418
(925) 932-7704
Mailing address
355 LENNON LN, SUITE 355, WALNUT CREEK, CA 94598-2418
(925) 932-7704
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A487440
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A487440
CA
207ND0900X
Dermatopathology Physician
A487440
CA
207NS0135X
Procedural Dermatology Physician
A487440
CA
Other
Enumeration date
05/10/2007
Last updated
06/18/2013
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