Individual
MR. JOSE JESUS ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
350 W THOMAS RD, PHOENIX, AZ 85013-4409
(602) 406-3000
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0545
AZ
367500000X
Certified Registered Nurse Anesthetist
RN087235
AZ
Other
Enumeration date
09/27/2007
Last updated
12/10/2024
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