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1831671262
ALEXANDER ORTIZ
MALMSTROM AFB, MT
NPI
1831671262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: MT 127954)
Enumeration Date
2018-09-01
Last Update Date
2023-07-12
Business Address
Mr. ALEXANDER ORTIZ
7300 N PERIMETER RD
MALMSTROM AFB, MT 59402-6701
Phone number: 406-731-2355
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Mailing Address
Mr. ALEXANDER ORTIZ
4102 PINION DR
USAF ACADEMY, CO 80840-2502
Phone number: 719-333-5260
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