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Individual

DR. SARAH EMMETT BORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
8220 SAN PEDRO DR NE, SUITE 220, ALBUQUERQUE, NM 87113-2476
(505) 797-4466
(505) 797-2275
Mailing address
PO BOX 1506, CHEHALIS, WA 98532-0409
(360) 242-3008
(360) 807-7687

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615
NM
152W00000X
Optometrist
OD60232648
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
29204860
NM
01
NM303413
MEDICARE NM
NM
Enumeration date
05/26/2009
Last updated
10/18/2023
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