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Dr. Alexander William Ortiz, DO
Military Health Care Provider in Shaw Afb, South Carolina
NPI 1356928014

Alexander William Ortiz is a Military Health Care Provider based in Columbia, SC. Alexander William Ortiz practices in Shaw Afb, SC and has the professional credentials of DO. The NPI Number for Alexander William Ortiz is 1356928014 and holds a License No. (South Carolina).

The current practice location address for Alexander William Ortiz is 431 Meadowlark St, Shaw Afb, SC and can be reached out via phone at 803-895-2273 and via fax at 803-895-6063.

Location: 431 Meadowlark St, Shaw Afb, SC, 29209-4456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356928014
Provider Name
Alexander William Ortiz
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
431 Meadowlark St, Shaw Afb, SC, 29209-4456
Phone Number
803-895-2273
Fax Number
803-895-6063
Provider Enumeration Date
03/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-2273
Fax Number
803-895-6063
person
Provider Business Mailing Address Details
Address
431 Meadowlark St
City
Shaw Afb
State
South Carolina
Zip
29152-5019
Phone Number
803-895-2273
Fax Number
803-895-6063
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
2022-02862 (North Carolina)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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