SALVADOR ORTIZ

FORT LEONARD WOOD, MO
NPI1598884587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MO  2016037997)
Additional Taxonomies363A00000X Physician Assistant
(Licence: TX  PA05173)
Enumeration Date2007-03-28
Last Update Date2020-07-10
Business Address
Mr. SALVADOR ORTIZ APA-C
4430 MISSOURI AVE
FORT LEONARD WOOD, MO 65473-9098
Phone number: 573-596-0039
Mailing Address
Mr. SALVADOR ORTIZ APA-C
1225 COOPER ST
JEFFERSON CITY, MO 65101-5007
Phone number: 573-774-0477