Individual
VICTOR ENRIQUE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2006-01372
NC
207RP1001X
Pulmonary Disease Physician
2006-01372
NC
207RP1001X
Pulmonary Disease Physician
Primary
64183
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5914922
—
NC
Enumeration date
02/17/2008
Last updated
01/27/2022
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