Dr. Alexander William Ortiz, DO
Military Health Care Provider in Shaw Afb, SC. Individual provider (NPI-1).
NPI number1356928014
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1356928014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alexander William Ortiz
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171000000X | Military Health Care Provider | 2022-02862 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
431 Meadowlark StShaw Afb, SC 29152-5019
Phone 803-895-2273 · Fax 803-895-6063
Mailing address
332 Tomentosa DrColumbia, SC 29209-4456
Phone 704-989-4667
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