Individual
DR. JEFFREY THOMAS BORTZ
Active
Individual
DR. JEFFREY THOMAS BORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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