Individual
LOUIS ORTENZIO JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5861 MASON DIXON HIGHWAY, BOX 72, BLACKSVILLE, WV 26521
(304) 432-8211
(304) 432-8213
Mailing address
5861 MASON DIXON HIGHWAY, BOX 72, BLACKSVILLE, WV 26521
(304) 432-8211
(304) 432-8213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12327
WV
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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