Individual
JOSE F ORTIZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6230 MAIN, COLSTRIP, MT 59323-1858
(406) 748-3600
(406) 748-3606
Mailing address
6230 MAIN, COLSTRIP, MT 59323-1858
(406) 748-3600
(406) 748-3606
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8608
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014348
—
MT
Enumeration date
02/22/2006
Last updated
07/08/2007
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