Individual
DR. JONATHAN DAVID BORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8117 STANFORD AVE, SAINT LOUIS, MO 63130-3617
(314) 863-1235
Mailing address
8117 STANFORD AVE, SAINT LOUIS, MO 63130-3617
(314) 863-1235
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
R4H64
MO
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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