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1992019921
JONATHAN DAVID BORTZ
SAINT LOUIS, MO
NPI
1992019921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: MO R4H64)
Enumeration Date
2010-08-02
Last Update Date
2010-08-02
Business Address
Dr. JONATHAN DAVID BORTZ M.D.
8117 STANFORD AVE
SAINT LOUIS, MO 63130-3617
Phone number: 314-863-1235
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Mailing Address
Dr. JONATHAN DAVID BORTZ M.D.
8117 STANFORD AVE
SAINT LOUIS, MO 63130-3617
Phone number: 314-863-1235
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