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John W Mortensen, MD
Diagnostic Radiology Physician in Redlands, California
NPI 1023057130

John W Mortensen is a Diagnostic Radiology Physician based in Redlands, CA and is specialized in Diagnostic Radiology. John W Mortensen practices in Redlands, CA and has the professional credentials of MD. The NPI Number for John W Mortensen is 1023057130 and holds a License No. G15412 (California).

The current practice location address for John W Mortensen is 2 W Fern Ave, Redlands, CA and can be reached out via phone at 909-793-3311 and via fax at 909-796-4158.

Location: 2 W Fern Ave, Redlands, CA, 92373-0722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023057130
Provider Name
John W Mortensen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 W Fern Ave, Redlands, CA, 92373-0722
Phone Number
909-793-3311
Fax Number
909-796-4158
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G154122 05 CA
institution
Provider Business Practice Location Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-796-4158
person
Provider Business Mailing Address Details
Address
2 W Fern Ave
City
Redlands
State
California
Zip
92373-5916
Phone Number
909-793-3311
Fax Number
909-796-4158
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G15412 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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