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Individual

ALICIA ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1801 16TH ST, GREELEY, CO 80631-5154
(970) 810-4121
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
335273
LA
207Q00000X
Family Medicine Physician
Primary
DR.0062310
CO

Other

Enumeration date
04/01/2016
Last updated
05/09/2023
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