Individual
MR. TERRYL JEAN ORTEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 W MONROE AVE, LOWELL, AR 72745-9682
(479) 770-8090
(479) 770-8062
Mailing address
116 W MONROE AVE, LOWELL, AR 72745-9682
(479) 770-8090
(479) 770-8062
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R-3334
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105379001
—
AR
Enumeration date
06/14/2006
Last updated
09/03/2012
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