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Individual

MR. ALEXANDER ORTIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7300 N PERIMETER RD, MALMSTROM AFB, MT 59402-6701
(406) 731-2355
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5260

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
127954
MT
363A00000X
Physician Assistant
Primary

Other

Enumeration date
09/01/2018
Last updated
07/12/2023
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