Individual
STEFAN ORTEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
MSC09 5040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87106
(505) 272-9864
Mailing address
1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-9864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2025-0114
NM
Other
Enumeration date
07/28/2025
Last updated
02/02/2026
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