Individual
OWEN DIMITRI ORTMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Mailing address
920 CHURCH ST N, CONCORD, NC 28025-2927
(704) 403-3000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2020-00377
NC
390200000X
Student in an Organized Health Care Education/Training Program
MT211718
PA
Other
Enumeration date
06/08/2016
Last updated
07/06/2020
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